drdg
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a 33-year-old woman comes to the ER due to a 4-day history of left-sided flank pain, nausea, vomiting, fevers and chills. T: 39 C and BP: 100.60 mmHg. PE shows significant left costovertebral angle tenderness. Urinalysis shows positive nitrites, many WBC and bacteria. Lab studies show a WBC count of 17,000/CMM with 8% bands. Which of the following is the most appropriate next step in management?
A. IV prelogram
B. IV antibiotics
C. Blood Cultures
D. CT scan of the abdomen
E. Ultrasound of the abdomen
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| Doc750
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B
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| neuroblastoma
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C
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| doc_clotaire
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C -------------blood culture first because Pyelonephritis can cause severe bacteremia and then IV antibiotics
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| aaroho
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B
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| mjl1717
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Actuallyy should be blood culture and urine culture first (find out what you are treating)-- then Levaquin, or nitrofurantoin can be initiated on an outpatient basis..
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Edited by mjl1717 on 10/25/07 - 05:53 PM
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| Ivonne
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Cultures(urine and blood) always before antibiotics
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| Ivonne
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Don't forget to give the aswer and explanation of this question pz
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