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Review Question - QID 214396

Urinary Tract Infections Treatment Operative QID: 214396 (M2.OMB.4883)
In scope icon M 7 A
QID 214396 (Type "214396" in App Search)
A 55-year-old woman presents to the emergency department with burning on urination. She states that it started 3 days ago and has progressed to a fever today. She otherwise endorses a few episodes of nausea and vomiting. Her past medical history is notable for diabetes and hypertension, and she is not currently taking any medications. Her temperature is 101°F (38.3°C), blood pressure is 114/64 mmHg, pulse is 110/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam is notable for suprapubic and costovertebral angle tenderness. The patient is started on cefepime and IV fluids. An ultrasound is performed as seen in Figure A. Urine dipstick is performed as seen below.

Urine
Color: Amber
Leukocytes: Many
Bacteria: Many
Red blood cells: Many
Epithelial cells: None

Which of the following is the appropriate management of this patient?
  • A
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  • A