Case 4

A 36 year old female presents to triage at ED complaining of 2 days of left flank pain, dysuria, nausea and vomiting.

She is febrile at 39 deg and HR 115 bpm, RR 18, BP110/70.

Question 1

What is the most likely diagnosis?

Question 2

What investigations do you organise?

Question 3 

What is the initial and specific treatment in this case?