Editing AUA & CUA Recurrent UTI (2019) (section)

==== History and Physical Exam ====
* '''History'''
** '''<span style="color:#ff0000">Symptoms</span>'''
*** '''<span style="color:#ff0000">Urinary tract infection symptoms include dysuria, central to the diagnosis of UTI, with variable degrees of:</span>'''
***# <span style="color:#ff0000">'''Increased urinary urgency and frequency'''</span>
***# <span style="color:#ff0000">'''Hematuria'''</span>
***# <span style="color:#ff0000">'''Suprapubic pain'''</span>
***# <span style="color:#ff0000">'''New or worsening incontinence'''</span>
*** '''<span style="color:#ff0000">In older adults, the symptoms of UTI may be less clear.</span>'''
**** Given the subjective nature of these symptoms, '''careful evaluation of their chronicity becomes an important consideration.'''
***** Older females frequently have nonspecific symptoms that may be perceived as a UTI, such as dysuria, cloudy urine, vaginal dryness, vaginal/perineal burning, bladder or pelvic discomfort, urinary frequency and urgency, or urinary incontinence, but these tend to be more chronic
***** '''Acute-onset dysuria, particularly when associated with new or worsening storage symptoms, remains a reliable diagnostic criterion in older females''' living both in the community and in long-term care facilities.