Chronic pyelonephritis Flashcards
1
Q
What is chronic pyelonephritis?
A
Chronic tubulointerstitial inflammation and clubbing of pelvic calyces leading to loss of renal function
Common cause of CKD
2
Q
What are the causes of chronic pyelonephritis?
A
Vesicoureteric reflux= most common
Obstruction
Recurrent acute pyelonephritis
3
Q
What are the risk factors for chronic pyelonephritis?
A
Female
Children
Anatomical abnormalities
4
Q
What is the presentation of chronic pyelonephritis?
A
Vague presentation, often relating to cause
Abdo discomfort
Late disease- reduced renal function, increased BP, decreased urine output
5
Q
What is the management of chronic pyelonephritis?
A
Supportive
Treat underlying cause
6
Q
What are the complications of chronic pyelonephritis?
A
AKI
Acute pyelonephritis
Progression to CKD
