How Much Do You Know About Diagnosing Urinary Tract Infections?

Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.

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A 32-year-old woman presents to the emergency department with dysuria, back pain, and fever for two days. She indicates she has had urinary tract infections in the past but never this severe. She denies other past medical history and does not take any medications. Vital signs show HR 114, BP 132/80, R 16, T 102.2°F. Examination shows a moderately ill-appearing woman with right costovertebral angle tenderness. What test or tests are required in making an appropriate diagnosis in this patient?

A) Urinalysis

B) Urinalysis and contrast enhanced computed tomography of abdomen/pelvis

C) Urinalysis and non-contrast enhanced computed tomography of abdomen/pelvis

D) Urinalysis and ultrasonography of renal parenchyma

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