2 Days Of Dysuria in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#464
SMLE Question #464
Medicine / Internal Medicine
Infectious Diseases
Last updated: February 2026
A 24-year-old newly married woman presents to an outpatient clinic with 2 days of dysuria and urinary frequency. She is otherwise healthy and not pregnant. She denies fever, flank pain, nausea, and vaginal discharge. Examination shows a comfortable woman with a soft, non-tender abdomen and no costovertebral angle tenderness. She has no urinary tract abnormalities and no recent antibiotic use. Urinalysis shows pyuria and bacteriuria. What is the most appropriate empirical oral antibiotic therapy?
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