#DiagnosticDilemma: What is your take on this case??
An 82-year-old woman with a 1-week history of urinary incontinence

She was evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reported no dysuria, fever, or back pain. Medical history was significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication was amlodipine.

On physical examination, temperature is 36.8 °C (98.2 °F), blood pressure is 150/90 mm Hg, pulse rate is 72/min, and respiration rate is 16/min. Mild suprapubic tenderness but no costovertebral angle tenderness were noted on abdominal examination. The remainder of the examination was noncontributory.

Urine dipstick was positive for leukocyte esterase and nitrites.

Which of the following is the most appropriate management?

A. Levofloxacin

B. Nitrofurantoin

C. Urine culture

D. Clinical observation





Answer to be disclosed shortly!

The following case has been reported from KevinMD
A●●●z I●●●l and 5 others like this
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Dr. A●●●●a C●●●●a
Dr. A●●●●a C●●●●a General Medicine
B
Nov 28, 2018Like
Dr. A●●●●a C●●●●a
Dr. A●●●●a C●●●●a General Medicine
B
Nov 28, 2018Like
Dr. s●●v s●●●●a
Dr. s●●v s●●●●a Urology
B
Nov 28, 2018Like