Renal infection: Chronic Pyelonephritis

Question 1

What is chronic pyelonephritis?

Answer 1

recurring or persistent bacterial infection superimposed on urinary tract obstruction, urine reflux or both

Question 2

What are the types of refluxes

Answer 2

superimposition of infection on congenital vesicoureteral reflux or infrarenal reflux

Question 3

Who is more at risk of chronic pyelo

Answer 3

history of recurrent episodes of UTI or acute pyelo

Question 4

What are the manifestations of chronic pyelonephritis

Answer 4

Minimal, hypertension, frequency, dysuria, flank pain

Question 5

What makes chronic pyelonephritis unique

Answer 5

Scarring

Question 6

What is the pathophysiology of chronic pyelonephritis

Answer 6

chronic obstruction leads to chronic inflammation leads to structural changes in the renal pelvis/ calyces which leads to atrophy, dilation and diffuse scarring of tubules that impair ability to make urine

Question 7

What does the pathophysiology of chronic pyelo set you up fo r

Answer 7

chronic renal failure