pyelonephritis Flashcards
1
Q
what
A
inflammation of kidneys due to bacterial infection
inflammation affects renal pelvis and parenchyma
2
Q
risk factors
A
female sex
structural urological abnormality
diabetes
VUR
3
Q
most common cause
A
e. coli
4
Q
other causes
A
klebsiella
enterococcus
psuedomonas
staph saprophyticus
5
Q
presentation
A
dysuria, frequency
triad of
- fever
- loin or back pain
- N&V
systemic illness
haematurie
renal angle tenderness OE
6
Q
Ix
A
urine dipstick
MSU for MC&S
7
Q
Mx in community
A
7-10days
- cefalexin
- co-amoxiclav if culture result available
- trimethoprim if have culture
- ciprofloxacin
8
Q
possibilities to keep in mind if patient has severe symptoms but not responding well to treatment
A
renal abscess
kidney stone
9
Q
chronic pyelonephritis
A
recurrent episodes infection –> scarring –> CDK
DMSA used to assess renal damage
