1 Day Of High in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#475
SMLE Question #475
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 26-year-old primigravida at 28 weeks’ gestation presents with 1 day of high fever with chills and severe right flank pain radiating to the groin. She reports 3 days of dysuria and urinary frequency. Fetal movements are unchanged. Examination shows marked right costovertebral angle tenderness. Urinalysis shows proteinuria, pyuria, and hematuria. What is the most appropriate next step in management?
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