Question

A 30-year-old woman presents with a 1-week history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile and non-pregnant, with no flank pain. Urinalysis shows leukocytes and nitrites. According to Canadian guidelines, what is the most appropriate management?

Accepted Answer

Empiric oral antibiotics for uncomplicated cystitis without further imaging

Answer

Immediate renal ultrasound to exclude obstruction

Answer

Empiric intravenous antibiotics and admission

Answer

Cystoscopy to exclude bladder tumour

Answer

No treatment is required as this is likely viral

Practice question

A 30-year-old woman presents with a 1-week history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile and non-pregnant, with no flank pain. Urinalysis shows leukocytes and nitrites. According to Canadian guidelines, what is the most appropriate management?