A 28-year-old woman presents with acute right-sided flank pain, fever and dysuria. Urinalysis shows pyuria and nitrites. She is haemodynamically stabl...

Question

A 28-year-old woman presents with acute right-sided flank pain, fever and dysuria. Urinalysis shows pyuria and nitrites. She is haemodynamically stable. According to paediatric and adult UTI guidance, what is the most appropriate diagnosis and management?

Accepted Answer

Acute pyelonephritis; start appropriate oral or intravenous antibiotics and consider imaging only if atypical

Answer

Uncomplicated cystitis; treat with a single dose of fosfomycin

Answer

Asymptomatic bacteriuria; no treatment

Answer

Renal colic; no antibiotics required

Answer

Pelvic inflammatory disease only

ca-mccqe1 MCQ (SBA): Acute pyelonephritis

A 28-year-old woman presents with acute right-sided flank pain, fever and dysuria. Urinalysis shows pyuria and nitrites. She is haemodynamically stable. According to paediatric and adult UTI guidance, what is the most appropriate diagnosis and management?