Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2019
Diagnosis of urinary tract infection in older persons in the emergency department: To pee or not to pee, that is the question.
Doreen is a 79-year-old woman referred by her general practitioner to the ED for intravenous antibiotics for a urinary tract infection (UTI). She lives in a residential aged care facility (RACF) and staff report malodourous and cloudy urine. ⋯ On examination Doreen is frail with vital signs of: temperature 37.7°C, pulse 87 bpm, blood pressure 130/70; there is no suprapubic or flank tenderness. Do you perform a dipstick test on Doreen’s urine for a suspected UTI?