KIDNEY: INFECTION Flashcards
⚒️ RISK FACTOR for PYELONEPHRITIS
S- SEX (Female <40, Male >40)
C- CATHETERIZATION
A- AGE (Infant and Elderly)
R- RENAL LESIONS
R- REFLUX ( VUR)
I- IMMUNODEFICIENT
N- NIDDM, IDDM
U- URINARY OBSTRUCTION ( PUV)
P- PREGNANCY
P- PROSTATE ENLARGEMENT
⚡⚡ MOST COMMON ORGANISM causing PYELONEPHRITIS
E. coli
🧑🏻⚕️ Clinical Features of PYELONEPHRITIS
- Loin PAIN
- Fever
- Burning Micturation
💊💉 MANAGEMENT of PYELONEPHRITIS
IV NEPHRITIS
INVESTIGATION for PYELONEPHRITIS
- Urine Microscopy
- Imaging (CECT)
Which INVESTIGATION is used to differentiate PYELONEPHRITIS & PYONEPHROSIS
CECT
Complications of PYELONEPHRITIS
🧠⚡ 3P⚡
- Papillary Necrosis
- Pyonephrosis
- Perinephric abscess
PYELONEPHRITIS in IMMUNODEFICIENT STATE or DM patient
➕
GAS IN & AROUND KIDNEY on Imaging
Emphysematous PYELONEPHRITIS
⚡⚡ MOST COMMON CAUSE of Emphysematous PYELONEPHRITIS
E. coli
💊💉 MANAGEMENT of EMPHYSEMATOUS PYELONEPHRITIS
Antibiotics
⬇️
⬇️
⬇️
Nephrectomy
⚡⚡ MOST COMMON CAUSE of XANTHOGRANULOMATOUS PYELONEPHRITIS
Proteus > E. Coli
Flank Pain
➕
Pyrexia
➕
Abdominal Mass
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Diabetic ♀️
➕
Staghorn Stone in Kidney ➕ Low Density Mass in Kidney
XANTHOGRANULOMATOUS PYELONEPHRITIS
💊💉 MANAGEMENT of XANTHOGRANULOMATOUS PYELONEPHRITIS
Subcapsular Nephrectomy
Renal CARBUNCLE (OR) Renal CORTICAL ABSCESS
⭐ CAUSE
Diabetes pt ➕ Staphylococcus aureus infection
💊💉 MANAGEMENT of RENAL CARBUNCLE & RENAL CORTICO-MEDULLARY ABSCESS
Antibiotics ➕ Drainage