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MediumInfectious DiseasesAcute pyelonephritisca-mccqe1ca-rcpsc-im

A 35-year-old woman presents with flank pain, fever of 38.9°C and nausea. She has costovertebral angle tenderness and is tachycardic. Urinalysis is positive for leukocytes and nitrites. There is no vomiting at present and she can tolerate oral intake. According to Canadian guidance, what is the most appropriate initial management?

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