Final diagnosis
Pyelonephritis
Must-not-miss
Nephrolithiasis with infection; perinephric abscess; renal cell carcinoma; ectopic pregnancy
What's in the guide
21 pages, mapped to the rubric
21Pages
- Full history question bank with verbatim patient responses
- Physical exam checklist with documentation language
- Ranked differentials with platform-verified names
- Full EHR documentation — Subjective + Objective
- Tests Ordered, each with scoring rationale
- Complete 6-part management plan
- SOAP note, ready to submit
- APA-formatted scholarly references
Scoring logic, decoded
The traps that quietly cost points
These are the point-loss patterns iHuman never tells you about. We map every one for this case.
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CVA tenderness on percussion is the hallmark physical exam finding
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UA with culture and sensitivity — treat empirically then adjust based on culture
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Outpatient: fluoroquinolone x 7 days OR TMP-SMX x 14 days
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Admit if: vomiting (can't tolerate PO), sepsis signs, obstructing stone, pregnancy
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CT abdomen/pelvis if not improving in 48-72 hours — rule out abscess or obstruction
Guide format preview
This isn't your case yet — here's our format
We haven't built Sally Smith — Pyelonephritis yet. These are stamped excerpts from a completed guide (Cynthia Francis - Hyperlipidemia) so you can see the exact structure. Your guide will be written specifically for Sally Smith — Pyelonephritis and follow this same format.
Example
ExampleCover & overview
Example
ExampleHistory bank
Example
ExamplePE checklist
Example
ExampleTests & DDx