3. Pyelonephritis (Bacterial Urinary Tract Infections) – etiology, pathogenesis, clinical presentation, diagnosis. Flashcards
what is pyelonephritis ?
infection of the renal pelvis
wit involvement of the renal parenchyma due to ascending bacterial urinary tract infections
etiology ?
more commin in females
due to short urethera , vescioretrela relfu x , stones badde catheter
previous ureocystitis
e coli
what are the symptoms of pyleonephrtis ?
fever
it is undulant
shivering
dysuria
UNILATERAL FLANK PAIN
diagnosis ?
urine stix test = leukocyturea , microhaematurea
urine culture
blood - inflammtory marers
ultrasound of kidneys and bladder urinary retension
urogram = CT with contrast
vesicoureteral reflux
treatmnet for stones ?
uncomplicated mild course: Fluoroquinolones
3rd gen cephalosporin: cefotaxim in uncomplicatd severe course