Discussion Overview Understanding a complete health record requires understanding the
An adult with a history of type 1 diabetes presents with a high fever for 6 hours with chills, dysuria, and urinary frequency. They describe a deep aching pain in their flank. They were recently treated at the emergency department for a urinary tract infection but did not complete the course of antibiotic therapy. Their temperature is 102 degrees F, heart rate is 100/minute, and blood pressure is 120/80 mm Hg. They have tenderness over the suprapubic region and left costovertebral angle. The urine dipstick reveals hematuria, TNTC white blood cells, and 2+ protein. CBC reveals a white blood cell count of 13,000/mm^3 with 80% neutrophils. Which of the following is indicated? 1. Bactrim DS x 3 days 2. Ciprofloxacin x 3 days 3. )Outpatient nitrofurantoin treatment for 14 days 4. Inpatient intravenous antibiotic treatment
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