In the ED, their vitals/exam are as above. Suspect nausea and vomiting is related to recent antibiotic initiation. Suspect that chills are in the setting of undertreated UTI/cystitis. No flank/CVA tenderness to suggest pyelonephritis. Negative pregnancy testing yesterday. No vaginal discharge to suggest vaginitis or cervicitis or PID. Lower suspicion for kidney stone, focal abdominal or gynecological pathology, such as appendicitis, cholecystitis, diverticulitis, ruptured ovarian cyst, ectopic pregnancy, ovarian torsion as patient without nausea/vomiting, vital sign abnormalities and looks very comfortable.
– Labs/Tests: None
– Imaging: None
– Treatments: IV ceftriaxone, antiemetics, IV fluids
– Consults: None
– Dispo: Discharge on cefpodoxime with PCP follow-up and return precautions