{"ops":[{"insert":"A 33-year old woman presents with fever and right-sided flank pain for one day. There is no history of frequency, urgency, dysuria, or hematuria, and no bowel symptoms are present.\n\nHer medical history is unremarkable. A routine screening for diabetes, hypertension, and dyslipidemia performed last month was negative on all counts.\n\nHer surgical and gynecological histories are also unremarkable. Her last menstrual period was two weeks ago, and she is currently in a monogamous relationship. There is no history of sexually transmitted infections.\n\nShe drinks socially and has never smoked.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-066_en.png"}},{"insert":"\n"}]}
2
Investigate
Urinalysis and urine cultures
{"ops":[{"insert":"Urinalysis:\n Pus cells: Field full\n RBC: 10-15\/hpf\n WBC casts: Positive\n Leukocyte esterase test: Positive\n\nUrine Cultures:\n Results will be available in 48 to 72 hours\n"}]}
Ultrasound KUB
{"ops":[{"insert":"The ultrasound scan appears normal, with no imaging findings suggestive of calculi, ureteral obstruction, hydronephrosis, or abscesses.\n"}]}
