A 36-year-old non-pregnant woman presents with fever, rigors, right loin pain and vomiting. She looks unwell with temperature 38.9 degrees Celsius, pu...

Question

A 36-year-old non-pregnant woman presents with fever, rigors, right loin pain and vomiting. She looks unwell with temperature 38.9 degrees Celsius, pulse 110, blood pressure 104/70 mmHg and right renal angle tenderness. She cannot tolerate oral fluids. What is the most appropriate management?

Accepted Answer

Admit for intravenous antibiotics and fluids

Answer

Treat with a 3-day course of oral Nitrofurantoin at home

Answer

Send urine culture but withhold antibiotics until the result is available

Answer

Prescribe oral Trimethoprim for 7 days as an outpatient

Answer

Discharge with analgesia alone

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

A 36-year-old non-pregnant woman presents with fever, rigors, right loin pain and vomiting. She looks unwell with temperature 38.9 degrees Celsius, pulse 110, blood pressure 104/70 mmHg and right renal angle tenderness. She cannot tolerate oral fluids. What is the most appropriate management?