Wk 5 Pyelonephritis Flashcards
What are the clinical manifestations of pyelonephritis?
Mild fatigue to sudden onset of chills, fever, vomiting, flank pain
What is flank pain in a UTI?
CVA tenderness
What are 3 additional tests for pyelonephritis?
WBC w diff
Imaging tests
Blood culture
Why would we do a blood culture for pyelonephritis?
If bacteremia or urosepsis was suspected
What are the immature neutrophils called?
bands
Where is the costovertebral angle?
Kidneys are not __
palpable
How do you assess for CVA tenderness?
What is the outpatient management for pyelonephritis? (3)
Adequate PO intake
NSAIDs/antipyretic drugs
Follow up urine culture and imaging studies
When would pyelonephritis be treated on an outpatient basis?
If the patient has mild symptoms
What it the initial treatment for pyelonephritis?
Broad-spectrum antibiotics and then switching to more specific when culture comes back
When are cultures/imaging repeated after treatment of pyelonephritis?
14-21 days
If a patient is hospitalized what would we do concerning PO intake?
Parentally initially, but then switch to oral when nausea, vomiting, and dehydration subside
If a patient with pyelonephritis presents with severe symptoms they will be…
hospitalized
What will the treatment be for a patient hospitalized with pyelonephritis? (4)
Adequate PO intake
NSAIDs/antipyretic drugs
FU culture/imaging
Parenteral antibiotics
