Christine Smith iHuman (33 y/o female with deep aching flank pain)

Christine Smith iHuman (33 y/o female with deep aching flank pain)

The patient is a 33-year-old female with a history of recurrent UTIs (most recently two months ago) who presents with 2 days of dysuria, increased frequency of urination, urgency and progressively worsening right flank pain. She has had chills and an elevated temperature of 100.2°F for 1 day, nausea, and 1 episode of vomiting with nonbloody emesis and denies hematuria or dyspareunia. She is sexually active with 1 partner, her spouse. She denies changes in menstrual cycle with the last menstrual period nearly 4 weeks ago. Physical exam is significant for T 100.2°F (oral), otherwise stable vitals, mild suprapubic tenderness and right costovertebral angle (CVA) tenderness.