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Acute pyelonephritis — PARA MCQ

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HardGeneral Medicine - Infectious diseaseAcute pyelonephritisPARA

A 31-year-old woman has fever, dysuria and right loin pain. Temperature is 39.1°C, pulse 108 beats/min and urine dip is positive for nitrites and leucocytes. What is the most likely diagnosis?

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Correct answer: AAcute pyelonephritis

Fever, systemic upset, loin pain and positive urine dip are typical of acute pyelonephritis rather than lower UTI.

Reference: NICE CKS: Pyelonephritis