Pyelonephritis Flashcards
1
Q
Pyelonephritis Organisms
A
-As for UTI
2
Q
Pyelonephritis Epidemiology
A
-Incidence highest in women age 15-29, can occur at any age
3
Q
Pyelonephritis RFs
A
- Structural renal abnormalities
- Calculi
- Catheters
4
Q
Pyelonephritis Presentation
A
- Onset is usually rapid with symptoms appearing over a day or two
- Unilateral or bilateral loin pain, suprapubic pain, back pain
- Fever is variable but can produce rigors
- Malaise, nausea, vomiting, anorexia
- Dysuria, Haematuria, hesitancy
5
Q
Pyelonephritis Differentials
A
- Abdominal abscess
- AAA
- Appendicitis…
6
Q
Pyelonephritis Investigations
A
- Urinalysis
- Culture and sensitivity
- Inflammatory markers
- Bloods
- Blood cultures
- USS
- CT if diagnosis uncertain
7
Q
Pyelonephritis Management
A
- Support
- Ciprofloxacin or co-amoxiclav for 7 days
- Hospital admission if indicated
8
Q
Pyelonephritis Complications
A
- Sepsis
- Absecess
- Necrosis
9
Q
Pyelonephritis Indications for Hospital Admission
A
- Fever over 39
- High WBC count
- Hypotension
- Vomiting
- Dehydration
- Sepsis
- Older or immunocompromised
