Case 1 of 4InfectiousUrogenital (e.g., cystitis, pyelonephritis)
A 22-year-old sexually active female presents to you with complaints of severe dysuria, urgency and frequent urination x 3 days. She denies any fever or flank pain. A urine dip in the office reveals Blood ++, Nitrates +, Leukocyte esterase ++. Exam is otherwise normal.
Question 1 of 13
What would be your next step in management?
Select 1. (0 / 1 selected)
100%
AAdmit for IV ceftriaxone and observation
BOrder a renal ultrasound to rule out obstructive uropathy before treating
CSend a urine culture and sensitivity and wait for results before starting any antibiotic
DStart empiric oral antibiotics (e.g., nitrofurantoin 100 mg PO BID x 5 days, TMP-SMX 160/800 mg PO BID x 3 days, or fosfomycin 3 g PO single dose) without routine urine culture
EReassure the patient that this is likely viral and no antibiotic is needed
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