When did the symptoms(UTI) started?

Ginger Jones is a 46 y/o white Female. Presents to clinic with her 4 children and her mother. All children are adopted. She reports occasionally smoking (1 pack/week x 12 years) and drinking about 3-‐4 beers a week. She thinks she may have a UTI and wants a medication for that. Symptoms include burning on urination, frequency, and dark colored urine with a bad smell. She also reports being in a recent new sexual relationship. They use condoms for contraception currently, but she states she doesn’t want to get pregnant and wants to be put on a birth control pill or something better than what she’s using now. She wonders what she needs to do about getting a mammogram, as she has never had one. Patient is also asking about other screenings she may need. She describes a sedentary lifestyle with a diet high in fast-‐foods and processed foods but states she does eat fruit like oranges, apples, and grapefruit at least once a day. She works as a secretary at a busy law firm, so she sits most of the day. Her fasting BS today is 304.PMH includes depression, HTN, High Triglycerides, Type 2 DM, resolved GC (Gonorrhea) 3 years ago. She takes the following medications: Glipizide 5 mg ER po bid; HTCZ 25 mg qd, Zocor 20 mg qd, Zoloft 100mg qd, St. John’s Wort 600 mg qd. She reports an allergy to Cipro (itching). BMI 34.  Impression/concerns Questions for Ginger: When did the symptoms(UTI) started? Do you have fever or chills? Any vaginal discharge? Any blood in urine? Describe the “bad smell”. Does it have an ammonia, musty, foul or sweet smell? Wipe front to back? Handwashing? Frequent changes of hygienic products? Do you void after having sexual intercourse? Douching, bubble bath? Have you had a UTI before? How much water, caffeine intake? Back or flank pain? I’m aware that the patient is a diabetic and recurrent infections such as a Urinary Tract Infection (UTI)are common (Cash 2021). Have you been taking your Glipizide as prescribed? who else lives in house, safety concerns carbon monoxide detector, smoke detector, safe neighborhood, children exposed to drug use?