LAWRENCE H. BERNSTEIN, M.D.
To the editor: The recent article by Greenfield and colleagues "Protocol Management of Dysuria, Urinary Frequency, and Vaginal Discharge" (Ann Intern Med 81:452-457, 1974), contains a step that may often lead toward the diagnosis of a urinary infection when the source of the symptoms may be elsewhere in the genitourinary tract. Instead of only doing a pelvic examination in the absence of pyuria or 2 + bacteriuria, one should be done on all patients with dysuria or frequency as well as vaginal discharge. Walker (1) substantiates the validity of this approach in a description of gynecologic lesions causing urinary symptoms.
LAWRENCE H. BERNSTEIN. Protocol for Urinary Tract Infection. Ann Intern Med. 1975;82:284–286. doi: 10.7326/0003-4819-82-2-284
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Published: Ann Intern Med. 1975;82(2):284-286.
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