Going up

A 60-year-old woman presents with frequent urination, urinary urgency, and dysuria for a week. There is no history of fever, flank pain, or hematuria.

Her medical history is significant for a diagnosis of type 2 diabetes six months ago, which is well controlled on diet alone. Her surgical history is significant for a total abdominal hysterectomy 10 months back.

She does not smoke and only drinks socially. An HbA1c assay is performed and found to be 6.5%.

Select Relevant Investigations
Urinalysis and dipstick testing

Performed

Pus cells: field full/hpf
RBC: 2-3/hpf
WBC casts: positive
Leukocyte esterase test: positive
Nitrite test: positive
Urine cultures

Performed

Reports will be available in 48 - 72 hours
CT KUB

Performed

The CT appears normal. No stones or calcifications are seen.
Cystoscopy

Performed

Cystoscopy reveals no abnormalities.

Select Relevant Management
Fluoroquinolones
Nitrofurantoin
Phenazopyridine
Cranberry juice