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Question
A 90-year-old female nursing home patient with a long history of chronic urinary tract infections is brought to the emergency department (ED) after developing a fever of 102°F with generalized abdominal pain. The patient has senile dementia and is acutely confused and is unable to communicate. The history was obtained from nursing home transfer records. Nonautomated urinalysis with microscopy was performed but was not remarkable. The physician's assessment stated "fever of unknown origin." The patient was treated with Tylenol and started on a broad-spectrum antibiotic and referred to her primary care physician for follow-up first thing in the morning.
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