A 66-year-old female presents with 24 hours of LIF pain and fever. She has multiple myeloma, is on chemotherapy and awaiting autologous stem cell transplant.
60 y/o man with 3 days suprapubic pain; 'pelvic ache' on urination; suprapubic tenderness and guarding on examination; and leukocytes in the urine. You are considering just treating as a urinary tract infection but the degree of tenderness makes you take a look with ultrasound.