pyelonephritis

Question 1

what

Answer 1

inflammation of kidneys due to bacterial infection

inflammation affects renal pelvis and parenchyma

Question 2

risk factors

Answer 2

female sex
structural urological abnormality
diabetes
VUR

Question 3

most common cause

Answer 3

e. coli

Question 4

other causes

Answer 4

klebsiella
enterococcus
psuedomonas
staph saprophyticus

Question 5

presentation

Answer 5

dysuria, frequency

triad of

• fever
• loin or back pain
• N&V

systemic illness
haematurie
renal angle tenderness OE

Question 6

Ix

Answer 6

urine dipstick

MSU for MC&S

Question 7

Mx in community

Answer 7

7-10days

• cefalexin
• co-amoxiclav if culture result available
• trimethoprim if have culture
• ciprofloxacin

Question 8

possibilities to keep in mind if patient has severe symptoms but not responding well to treatment

Answer 8

renal abscess

kidney stone

Question 9

chronic pyelonephritis

Answer 9

recurrent episodes infection –> scarring –> CDK

DMSA used to assess renal damage