Pyelonephritis history and symptoms: Difference between revisions
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*[[Fever]] | *[[Fever]] | ||
*Recent [[urinary tract infection]] | *Recent [[urinary tract infection]] | ||
*Recurrent [[ | *Recurrent [[UTI]]s | ||
*Structural defect of the urinary tract | *Structural defect of the urinary tract | ||
*[[Renal stones]] | *[[Renal stones]] |
Revision as of 20:10, 26 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pyelonephritis patients usually present in the emergency department with sudden development of pain radiating to the flank in the presence of dysuria and fever. The differentiation of Pyelonephritis from other causes of dysuria is based on severity of symptoms and the typical radiation of pain. A thorough history and examination is required to differentiate pyelonephritis from other causes of dysuria and flank pain.
History
Patients with pyelonephritis can present with the history of following important findings[1]
- Sudden symptom onset
- Fever
- Recent urinary tract infection
- Recurrent UTIs
- Structural defect of the urinary tract
- Renal stones
- Previous Pyelonephritis
- Tumour
- Cyst or abscess in the urinary tract
Symptoms
Patients with pyelonephritis can report the following symptoms[1][2]
- Sudden onset
- Fever- usually high grade
- Dysuria (painful voiding of urine)
- Abdominal pain (radiating to the back on the affected side)
- Rigors (violent shivering while the temperature rises)
- Frequency
- Urgency
- Hematuria
- Constitutional symptoms (weakness, decreased appetite etc)
- Children younger than 2 years old may only have a high fever or fussiness without symptoms related to the urinary tract.
- Older people may just exhibit confusion, disordered speech, or hallucinations.
- Vomiting or Nausea
- Delirium
- Headache
References
- ↑ 1.0 1.1 Bent S, Nallamothu BK, Simel DL, Fihn SD, Saint S (2002). "Does this woman have an acute uncomplicated urinary tract infection?". JAMA. 287 (20): 2701–10. PMID 12020306. Review in: Evid Based Nurs. 2002 Oct;5(4):119
- ↑ Korkes F, Favoretto RL, Bróglio M, Silva CA, Castro MG, Perez MD (2008). "Xanthogranulomatous pyelonephritis: clinical experience with 41 cases". Urology. 71 (2): 178–80. doi:10.1016/j.urology.2007.09.026. PMID 18308077.