Chronic pyelonephritis Flashcards
1
Q
Chronic pyelonephritis: causes
A
- Repeated episodes of acute pyelonephritis -> Leads to fibrosis, renal interstitium scarring, renal tubules atrophy
- Vesicoureteral reflux (VUR) -> can be due to Failure of vesicourethral orifice -> urine moves backward up urinary tract from bladder. May result from primary congenital defect, bladder outlet obstruction
2
Q
Chronic pyelonephritis: RF
A
- Urinary tract abnormalities
- catheter
- diabetes
- immunocompromised status
- BPH
3
Q
Chronic pyelonephritis: S
A
- May be asymptomatic
- Hematuria, polyuria/nocturia
- Flank pain
- Inflammatory response
- Leukocytosis; fever; chills; nausea, vomiting; gerontologic (e.g. altered mental status)
4
Q
Chronic pyelonephritis: D
A
- Urine culture, bacteria
- Pyuria
- hematuria
- bacteriuria
- leukocyte casts
- Medical imaging -> will show small kidneys
5
Q
Chronic pyelonephritis: T
A
Medication:
- antibiotics
Surgery:
- Correct kidney obstruction/VUR
- Nephrectomy: removal of part/all of damaged kidneys
- Kidney transplant
