A 23-year-old woman was married a year ago. Since then, she has experiencedfive attacks of acute cystitis, all characterized by dysuria, increased frequency, and urgency. Each infection responded to short-term treatment with trimethoprim sulfamethoxazole. The recurrences occurred at intervals of 3 weeks to 3 months following completion of antibiotic therapy. For the past two days, the woman has been experiencing acute flank pain, microscopic hematuria, dysuria, increased frequency, and urgency.Her vital signs are T = 37.9°C, P = 106, R = 22, and BP = 130/75 mm Hg. Physical examination reveals costovertebral tenderness, mild tenderness to palpation in the suprapubic area, but no other abnormalities.What are possible reasons for this woman’s pain? List possible differential diagnosis and explain each?What diagnostic tests should you order to confirm diagnosis?What are the possible causes of recurrent lower UTIs?What are the differences when comparing prerenal acute renal failure, intrarenal acute renal failure, and postrenal acute renal failure? Give examples of each.Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.Health ScienceScienceNursing

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