Pyelonephritis echocardiography and ultrasound: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pyelonephritis}} | {{Pyelonephritis}} | ||
{{CMG}}{{AE}}{{USAMA}} | {{CMG}}{{AE}}{{USAMA}} | ||
==Overview== | ==Overview== | ||
[[Ultrasonography]] is an effective non invasive technique in the diagnosis of pyelonephritis. It is | [[Ultrasonography]] is an effective non-invasive technique in the diagnosis of pyelonephritis. It is sometimes used as a replacement of cortical scintigraphy in the diagnosis of acute pyelonephritis in children.<ref name="pmid8126807">{{cite journal| author=Fowler JE, Perkins T| title=Presentation, diagnosis and treatment of renal abscesses: 1972-1988. | journal=J Urol | year= 1994 | volume= 151 | issue= 4 | pages= 847-51 | pmid=8126807 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8126807 }} </ref><ref name="pmid21292654">{{cite journal| author=Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG et al.| title=International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. | journal=Clin Infect Dis | year= 2011 | volume= 52 | issue= 5 | pages= e103-20 | pmid=21292654 | doi=10.1093/cid/ciq257 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21292654 }} </ref><ref name="pmid12848478">{{cite journal| author=Kawashima A, LeRoy AJ| title=Radiologic evaluation of patients with renal infections. | journal=Infect Dis Clin North Am | year= 2003 | volume= 17 | issue= 2 | pages= 433-56 | pmid=12848478 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12848478 }} </ref> | ||
==Ultrasound== | ==Ultrasound== | ||
The diagnosis of pyelonephritis using ultrasound | The diagnosis of pyelonephritis using ultrasound may feature the following:<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872</ref> | ||
* In case of recurrent urinary tract infections, it can help to rule out presence of anatomical defects like [[polycystic kidney disease]]. | * In case of recurrent urinary tract infections, it can help to rule out presence of anatomical defects like [[polycystic kidney disease]]. | ||
* Emphysematous | * [[Emphysematous pyelonephritis]]: Ultrasound will present an enlarged kidney containing air filled regions within the renal parenchyma, with shadowing shown posterior to the defect; It might not be as helpful in detecting the depth of involvement and stones can also show posterior shadowing. | ||
* Xanthogranulomatous | * Xanthogranulomatous pyelonephritis: Ultrasound shows the inflammatory mass, with central shadowing depicting [[renal calculi]]. | ||
[[Image:Xanthogranulomatous-pyelonephritis-8.jpg|Xanthogranulomatous Pyelonephritis USG|500px]] | [[Image:Xanthogranulomatous-pyelonephritis-8.jpg|Xanthogranulomatous Pyelonephritis USG|500px]] | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 12:23, 11 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
Ultrasonography is an effective non-invasive technique in the diagnosis of pyelonephritis. It is sometimes used as a replacement of cortical scintigraphy in the diagnosis of acute pyelonephritis in children.[1][2][3]
Ultrasound
The diagnosis of pyelonephritis using ultrasound may feature the following:[4]
- In case of recurrent urinary tract infections, it can help to rule out presence of anatomical defects like polycystic kidney disease.
- Emphysematous pyelonephritis: Ultrasound will present an enlarged kidney containing air filled regions within the renal parenchyma, with shadowing shown posterior to the defect; It might not be as helpful in detecting the depth of involvement and stones can also show posterior shadowing.
- Xanthogranulomatous pyelonephritis: Ultrasound shows the inflammatory mass, with central shadowing depicting renal calculi.
References
- ↑ Fowler JE, Perkins T (1994). "Presentation, diagnosis and treatment of renal abscesses: 1972-1988". J Urol. 151 (4): 847–51. PMID 8126807.
- ↑ Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG; et al. (2011). "International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases". Clin Infect Dis. 52 (5): e103–20. doi:10.1093/cid/ciq257. PMID 21292654.
- ↑ Kawashima A, LeRoy AJ (2003). "Radiologic evaluation of patients with renal infections". Infect Dis Clin North Am. 17 (2): 433–56. PMID 12848478.
- ↑ Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872