Pyelonephritis Flashcards
1
Q
What is it
A
Infection of the kidney in the pelvis/calyces/tubules/interstitium
2
Q
Most common in which gender
A
Females
3
Q
Most common organism
A
E.Coli
4
Q
Causes
A
Post op
Ascending infection for LUT
5
Q
Risk factors
A
Female Pregnancy Diabetes Vesicle-ureteric reflux UT obstruction
6
Q
Symptoms
A
UTI symptoms + fever ± Loin pain
7
Q
Investigations
A
Urinanalysis- leukocytes, nitrates, blood
Midstream sample for culture
8
Q
Treatment in community
A
Co-Amoxiclav or Co-trimoxazole for 14 days
9
Q
Treatment in hospital
A
IV amoxicillin + gentamicin for 3 days
10
Q
Treatment in pregnant women
A
Cefalexin
11
Q
Appearance on imaging
A
Coarse cortical scarring
12
Q
Complications
A
Kidney abscess
Sepsis
13
Q
Presentation of tuberculosis pyelonephritis
A
Weight loss
Fever
Loin pain
Caseous foci
14
Q
Cells seen in tuberculosis pyelonephritis
A
Multinucleated giant cells
