Pyelonephritis (upper UTI) Flashcards
1
Q
What is pyelonephritis?
A
inflammation of renal pelvis and parenchyma, it can be acute or chronic
2
Q
What causes pyelonephritis?
A
various bacteria, usually E. coli
3
Q
What are risks for pyelonephritis?
A
- suppressed immunity
- catheterization
- urinary reflux
- diabetes
4
Q
What is the pathology of pyelonephritis?
A
- ascending infection and inflammation (urethra>bladder>ureter>kidney)
- fibrosis and scar tissue can form if chronic
- scar tissue is nonfunctional, so renal function decreases
- recurrent inflammation can lead to obstruction or reflux
- chronic form can cause renal damage and lead to renal failure
5
Q
What are the manifestations of pyelonephritis?
A
- acute onset
- lower back pain
- fever
- dysuria, frequency, urgency
- pyuria (pus in urine)
- severe hypertension (in chronic form)
6
Q
How is pyelonephritis treated?
A
antibiotics for 10-14 days
