27 year old women comes to ED because of: -Vomiting -Urinary frequency/urgency -Burning sensaiton Temp is 39.2. Exam shows costovertebral angle pain. Urinalysis shows cloudy urine with WBC and RBC, + for leukocyte esterase, nitrites nad casts. Her hx is significant for GORD which she takes antacids several timse a week. 1. What is her diagnosis? She returns 3 days later because of worsenign symptoms and continued high temperature. 2. What medication was patient most likely presecribed and why?

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Use the mnemonic, A WET BED: A) maintenance of ACID-base balance; W) maintenance of WATER balance; E) balance of ELECTROLYTES; T) removal of TOXINS; B) control of BLOOD pressure; E) production of ERYTHROPOIETIN; and D) metabolism of vitamin D.


1. 27 year old women comes to ED because of: -Vomiting -Urinary frequency/urgency -Burning sensaiton Temp is 39.2. Exam shows costovertebral angle pain. Urinalysis shows cloudy urine with WBC and RBC, + for leukocyte esterase, nitrites nad casts. Her hx is significant for GORD which she takes antacids several timse a week. 1. What is her diagnosis? She returns 3 days later because of worsenign symptoms and continued high temperature. 2. What medication was patient most likely presecribed and why?