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A 28-year-old woman presents to the ED with 3 days of dysuria and frequency of urine. She describes no vaginal irritation or discharge. She is not pregnant.
What clinical signs would you look for?
She is apyrexial, her pulse is 64, she has mild suprapubic tenderness but no loin tenderness. On further questioning, she reveals urinary urgency too. What investigation would you do next?
What are the most likely infective organisms in order of prevalence?
Select the order of prevalence for each organism.
E. coli
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Staphylococcus saprophyticus
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Enterocooci
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Klebsiella, proteus and others
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What antibiotic, including dose and length of treatment, could you prescribe her? Is there more than one option?