Two days of right flank pain-fever-nausea but no vomiting

Reference no: EM133709033

Question

A 40-year-old female presents with two days of right flank pain, fever and nausea but no vomiting. She denies any other symptoms. Her temperature is 102.5, heart rate 120 (regular), blood pressure 110/70, respiratory rate 18 and oxygen saturation is 99% on room air. Exam is normal except right costovertebral angle tenderness. Urinalysis shows >200 WBCs and the dip is positive for leukocytes, nitrite and is negative for ketones. Labs are otherwise normal. Which of the following statements is TRUE about this patient?

A) If the patient's white blood cell count is not elevated, she does not have pyelonephritis. B) If the urinalysis is positive, it is not necessary to send a urine culture. C) The patient can be treated in the ED with IV fluids, antiemetics and antibiotics and sent home with outpatient antibiotics assuming findings improve with ED treatment. D) Blood cultures should be sent.

Reference no: EM133709033

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