A 45-year-old woman is complaining of urgency and dysuria for the past 2 days. Yesterday, she started getting chills, feels she is getting a fever, and her back hurts. Past medical history: UTI 1 year ago Medications: None Allergies: No known drug allergy (NKDA) Physical examination: Temperature: 100°F Pulse: 86 bpm Respiratory rate: 18/min Blood pressure: 110/70 mmHg Positive costovertebral angle tenderness and suprapubic tenderness, otherwise unremarkable Urine dipstick: positive leukocytes; negative nitrites and blood Urinalysis Results Color: Dark yellow (Ref: Yellow) Appearance: Cloudy (Ref: Clear) Specific gravity: 1.022 (Ref: 1.001–1.035) pH: ≤5.0 (Ref: 5.0–8.0) Glucose: Negative Bilirubin: Negative Ketones: Negative Occult blood: Negative Protein: Negative Nitrite: Negative Leukocyte esterase: Moderate (Ref: Negative) White blood cells: 5–10 WBC/HPF (Ref: ≤5/HPF) Red blood cells: 0–2 RBC/HPF (Ref: ≤2/HPF) Squamous epithelial cells: 6–10/HPF (Ref: ≤5/HPF) Bacteria: None seen (Ref: None seen/HPF) Hyaline casts: None seen (Ref: None seen/HPF) Questions: What is the most likely diagnosis and pathogen causing this disorder? What is the mode of transmission? Discuss the data that support your decision. What diagnostic test, if any, should be done? What findings would support your diagnosis? Develop a treatment plan for this patient.
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[Solved]: A 45-year-old woman is complaining of urgency…