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This Concept Map, created with IHMC CmapTools, has information related to: Example ISD, Mild suprapubic tenderness No rebound (PE Finding) Suggests Pyelonephritis (Dx), Abd exam (PE) Shows Mild suprapubic tenderness No rebound (PE Finding), Fever (HPI) Test Check vitals - Temp (PE), Check vitals - Temp (PE) Shows 101F (PE Finding), Pyelonephritis (Dx) Order Urinalysis (Lab Test Order), Positive for E. coli growth Susceptible to levofloxacin (Lab Test Result) Continue treating with Levofloxacin (Oral) 750 mg per day, 5 days (Management), Pain with urination (HPI) Test GU Exam (PE), Vomiting (HPI) Test Abd exam (PE), CVA tenderness (PE) Shows Unilateral tenderness Right side (PE Finding), Lower Back Pain (HPI) Test CVA tenderness (PE), MSK exam (PE) Shows Normal (PE Finding), Unilateral tenderness Right side (PE Finding) Suggests Pyelonephritis (Dx), Urine culture with susceptibility (Lab Test Order) Shows (Takes longer) Positive for E. coli growth Susceptible to levofloxacin (Lab Test Result), GU Exam (PE) Shows No abnormal discharge No lesions (PE Finding), Urine culture with susceptibility (Lab Test Order) Order Urinalysis (Lab Test Order), Lower Back Pain (HPI) Test MSK exam (PE), Urinalysis (Lab Test Order) Shows Positive for LE, WBC casts, RBC, protein, bacteria, Positive for LE, WBC casts, RBC, protein, bacteria Empirically treat Levofloxacin (Oral) 750 mg per day, 5 days (Management), 101F (PE Finding) Suggests Pyelonephritis (Dx), No abnormal discharge No lesions (PE Finding) Suggests Pyelonephritis (Dx)