What is the best next step

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Question: A 67-year-old woman presents for a routine follow-up visit. A review of systems is noncontributory. She has a medical history of hypertension, type 2 diabetes mellitus, and dyslipidemia, for which she takes valsartan, metformin, and atorvastatin. Her vital signs are blood pressure 130/80 mm Hg, heart rate 88 bpm, and oxygen saturation 97% on room air. Laboratory test results are creatinine 0.8 mg/dL, fasting glucose 117 mg/dL, and hemoglobin A1c 6.8%. A urinalysis shows bacteria with no white or red blood cells. The urine culture from 2 consecutive specimens grows Escherichia coli >100,000 CFU/mL of urine. What is the best next step?

Reference no: EM133826012

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