cThe only physical examination finding that increases the likelihood of UTI is costovertebral angle tenderness, and clinicians may consider not performing this test in patients with typical symptoms of acute uncomplicated UTI (as in telephone management). Source: Urinary Tract Infection, Women, The Rational Clinical Examination: Evidence-Based Clinical Diagnosis Citation: Simel DL, Rennie D. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis; 2016 Available at: http://jamaevidence.mhmedical.com/DownloadImage.aspx?image=/data/Books/845/sim_ch51_f001.png&sec=68732612&BookID=845&ChapterSecID=61357596&imagename= Accessed: December 26, 2017 Copyright © 2017 American Medical Association. All rights reserved