A woman 36-year-old female presents to her NP noting she has…

A woman 36-year-old female presents to her NP noting she has not had any menses for the past 2 months. She has a history of regular menses, with menarche at the age of 13. Which of the following diagnostic tests would be performed first to evaluate amenorrhea?

A 35-year-old female presents to the clinic with symptoms of…

A 35-year-old female presents to the clinic with symptoms of dysuria, urinary frequency, and suprapubic pain for the past three days. She also reports a new onset of fever, chills, and flank pain. On physical examination, which of the following findings help to differentiate pyelonephritis from cystitis?