Author: Charles Nwankpa, Ibidapo Yusuf / Editor: Jessie Lynch / Codes: GC5, GC7, GP1, SLO1, SuC8, SuP1Published: 06/09/2023

A 54-year-old male, who is normally fit and well, self-presents with complaints of fever, nausea, dysuria, frequency, lower abdominal pain radiating to the back, and general malaise.

He also reports that he has been passing air bubbles in his urine.

On examination, he is pyrexic, with a temperature of 38.5C. His abdominal examination reveals tenderness in the suprapubic and left iliac regions. His urine dipstick is positive for nitrites, leucocytes and blood. His WBC count is 17 and his CRP is 134.

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