Linus Penrod Case Study Mr. Penrod, a 59-year-old Native American male patient, presents with a complaint of urinary urgency, frequency, and discomfort with urination for 5 days. His symptoms have slowly worsened despite treatment with acetaminophen. He has not noticed any blood in his urine, and he reports feeling tired and has noticed some lower back pain starting today. He also thinks he might be developing a fever. He has a past medical history of chronic kidney disease, diabetes Type II, and hypertension. His medications include metformin 1000mg BID and lisinopril 20mg qd. He is not allergic to any medication but states there is significant amount of antibiotic resistance to Bactrim on his reservation. His vital signs include a HR of 92, resp of 16, a BP of 136/80, and a temp of 100.8. You also note mild costovertebral angle tenderness on the right; prostatitis has been ruled out. Pertinent urine dipstick results reveal 50 blood, nitrites, and 500 leukocytes. Urine culture and sensitivity are pending. His last creatinine clearance (CrCl) was 48 mL/min as measured 2 weeks ago. Treatment Plan The provider has decided to treat Mr. Penrod with ciprofoxacin 500mg bid for 14 days. A follow-up appointment has