A 33-year-old female patient visits the clinic multiple times over the last year complaining of dysuria, frequency, urgency, suprapubic pain, and dyspareunia. Her physical examination, including a pelvic exam, is normal
Urinalysis and urine culture is repeatedly negative. Her intravenous pyelogram is also normal. The clinician should recognize that this presentation is consistent with symptoms of:
A. Asymptomatic bacteriuria
B. Upper urinary tract infection
C. Interstitial cystitis
D. Polycystic kidneys
ANS: C
Patients with IC suffer from chronic symptoms that include a combination of dysuria, suprapubic pain, chronic pelvic pain, dyspareunia, and negative urine cultures. Patients may become debilitated by this disease; they may be making up to 40 trips to the bathroom in 24 hours. IC is also marked by periods of remission and flare-up throughout a patient's lifetime. Typical age at onset varies from 30 to 70, and most patients visit an average of five physicians and wait 4 years before the correct diagnosis is made.
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