Soaring

A 31-year-old woman presents with dysuria, urgency, frequency, discomfort in the suprapubic region, and lower back pain for three days. There is no history of fever, vaginal discharge, vulval pain or pruritus, or dyspareunia.

Her medical, surgical and family histories are unremarkable, and she is not on any medications. Her menstrual cycles are regular and 29 days in length. Her last menstrual period was five days ago.

She has been married for five years, without children. She is currently on the combined oral contraceptive pill. There is no history of multiple sexual partners or intravenous drug abuse.

Select Relevant Investigations
Complete blood count

Performed

WBC/DC: 10,000/mm3 (4,600-11,000)
N: 75% L:20%
Hb: 12.5 g/dL (11.0-18.0)
Plt: 310,000/mm3 (150,000-400,000)
Urinalysis

Performed

Appearance: turbid
Color: dark yellow
pH: 7.4
WBC: 55/hpf (normal: ≤5)
RBC: 3/hpf (normal: ≤3)
Cell casts: none
Crystals: none
Glucose: none
Protein: 5 mg/dL (normal: ≤20)
Nitrites: positive
Leukocyte esterase: positive
Urine Cultures

Performed

Culture results will be available in 48 to 72 hours.
Ultrasound Abdomen + Pelvis

Performed

Ultrasonography shows no abnormalities.

Select Relevant Management
Antibiotics
Analgesics
Cranberry Juice
Corticosteroids