A 24-year-old woman presents with fever, malaise and dysuria. She has right flank pain and tenderness. Temperature is 39.2°C and she is tachycardic bu...

Question

A 24-year-old woman presents with fever, malaise and dysuria. She has right flank pain and tenderness. Temperature is 39.2°C and she is tachycardic but normotensive. What is the most appropriate management?

Accepted Answer

Admit for intravenous antibiotics for suspected pyelonephritis

Answer

Treat as uncomplicated cystitis with 3 days of oral Nitrofurantoin

Answer

Give analgesia only

Answer

Prescribe topical oestrogen cream

Answer

No treatment needed

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

A 24-year-old woman presents with fever, malaise and dysuria. She has right flank pain and tenderness. Temperature is 39.2°C and she is tachycardic but normotensive. What is the most appropriate management?