The patient has painful urination during the past several days, occurring with each void.

• A. Nausea
• B. Dysuria
• C. Vomiting
• D. Abd. Pain

Answer: (B)

Painful urination that occurs with every void is described as dysuria. Dysuria means discomfort or pain during urination and points to irritation or infection of the urinary tract or urethra, rather than symptoms that are unrelated to urination. Nausea, vomiting, and abdominal pain describe non-urinary symptoms and do not specifically reflect pain during the act of urinating. Therefore, the term that best fits this presentation is dysuria. If you were evaluating further, you’d consider urinary tract infection signs and obtain a urinalysis to confirm.