symptoms of pyelonephritis
loin pain
fevers
rigors
vomiing
investigations for pyelonephritis
FBC U+E glucose blood cultures MSU urinalysis plain AXR
further management of pyelonephritis
IV access IV fluids antiemetics analgesia IV broad spectrum antibiotics (gentamicin, cefuroxime)
USS of KUB
IVU
MC+S
what is pyelonephritis
infective condition of the kidney. can be acute/chronic
chronic pyelonephritis
‘reflux nephropathy’
principally caused by chronic vesicoureteric reflux
abnormalities of the uterus which results in retrograde urinary regurgitation thorough the vesicoureteric junction
kidneys become scarred, atrophic and have classically blunted calyces