A 24-year-old primigravida at 16 weeks of gestation presents to the GP with right-sided loin pain, rigors, and vomiting. Her temperature is 39.2°C. Ur...

Question

A 24-year-old primigravida at 16 weeks of gestation presents to the GP with right-sided loin pain, rigors, and vomiting. Her temperature is 39.2°C. Urine dipstick is positive for leucocytes and nitrites. Her blood pressure is 100/62 mmHg and pulse is 118 bpm. She appears systemically unwell. Which feature of this presentation most strongly suggests this requires immediate hospital admission rather than outpatient management?

Accepted Answer

The systemic features (fever ≥38°C, rigors, tachycardia, hypotension) indicating possible urosepsis

Answer

The positive urine dipstick

Answer

The right-sided loin pain alone

Answer

Being in the second trimester

Answer

Being a primigravida

uk-drcog MCQ (SBA): Urosepsis Criteria for Admission in Pregnancy