A 40-year-old woman presents with fever, flank pain, nausea and vomiting. She has marked right costovertebral angle tenderness and feels very unwell. ...

Question

A 40-year-old woman presents with fever, flank pain, nausea and vomiting. She has marked right costovertebral angle tenderness and feels very unwell. Urinalysis is positive for nitrites and leukocytes. What is the most appropriate management?

Accepted Answer

Admit for intravenous antibiotics for suspected acute pyelonephritis

Answer

Oral Nitrofurantoin for 3 days

Answer

Immediate broad-spectrum oral antibiotics for 1 day then review

Answer

No antibiotics required

Answer

Topical oestrogen therapy

uk-plab-1 MCQ (SBA): Acute pyelonephritis

A 40-year-old woman presents with fever, flank pain, nausea and vomiting. She has marked right costovertebral angle tenderness and feels very unwell. Urinalysis is positive for nitrites and leukocytes. What is the most appropriate management?