pyleonephritis Flashcards
1
Q
what is it?
A
an infection within the renal pelvis
usually ascended from the lower UT
2
Q
causes- most common
A
E.coli
klebsiella
3
Q
symptoms?
A
same as UTI
but also LOIN PAIN , FEVER AND POTENTIALLY VOMITING
L/R UQ pain
4
Q
Tests?
A
urine dipstick
urine for culture and microorganisations
inflammatory markers are raised
elevated WBC
5
Q
when to admit to hospital?
A
vomiting haemuturia severe pain sepsis under 3 months anuria/oligouria dehydration
6
Q
what would indicate sepsis?
A
tachycardia
tachyponea
hypertension
7
Q
treatment
A
trimethoprim co-omoxiclav ciproflaxicin bed rest pain relief fluids
8
Q
what is sterile pyuria?
A
elevated WCC
symptoms present
no sign of bacterial growth
9
Q
ciprofloxacin what is the dose and how frequent?
A
500 mg of oral ciprofloxacin (Cipro) twice per day for seven days
