Sally Smith iHuman Pyelonephritis (34 y/o with painful urination)

The patient is a 34-year-old woman with type 1 diabetes mellitus who presents with complaints of: dysuria, frequency, urgency, dark-colored urine, right flank pain, decreased appetite, new onset chills and loss of glycemic control for the past 2 days. The physical exam found a temperature of 101.6 F, an HR of 110, orthostatic blood pressure, suprapubic tenderness, and a positive right flank “punch” test. PMH is significant for DM type 1 and renal calculi. She has had a new (male) sexual partner over the past three months with intermittent lack of condom use but denies menstrual irregularity.