31st July 2023

A 37-year-old woman presents to A&E with progressively worsening “constant” left loin pain associated with dysuria

A 37-year-old woman presents to A&E with progressively worsening “constant” left loin pain associated with dysuria, fever, and rigors. She reports no vaginal discharge or bleeding. On examination, her left loin is tender. Bloods show increased inflammatory markers. A urinary pregnancy test is negative, and urinalysis is positive for leukocytes and nitrites. She is normally fit and well.

What is the next management step?

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