3. Pyelonephritis (Bacterial Urinary Tract Infections) – etiology, pathogenesis, clinical presentation, diagnosis. Flashcards

1
Q

what is pyelonephritis ?

A

infection of the renal pelvis

wit involvement of the renal parenchyma due to ascending bacterial urinary tract infections

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2
Q

etiology ?

A

more commin in females

due to short urethera , vescioretrela relfu x , stones badde catheter

previous ureocystitis

e coli

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3
Q

what are the symptoms of pyleonephrtis ?

A

fever
it is undulant

shivering

dysuria

UNILATERAL FLANK PAIN

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4
Q

diagnosis ?

A

urine stix test = leukocyturea , microhaematurea

urine culture

blood - inflammtory marers

ultrasound of kidneys and bladder urinary retension

urogram = CT with contrast
vesicoureteral reflux

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5
Q

treatmnet for stones ?

A

uncomplicated mild course: Fluoroquinolones

3rd gen cephalosporin: cefotaxim in uncomplicatd severe course

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