A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute pyelonephritis. How should this patient be managed?
a. 3-day course of oral antibiotics c. Encourage cranberry juice intake
b. Hospitalization d. 6-week course of antibiotics
Question 2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma. Her exam reveals a 75 reduction in both active and passive range of motion of the right shoulder.
Mrs. Gray is also experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-handed. Based on her exam and medical history, you suspect adhesive capulitis or frozen shoulder. Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions.
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