Condition Info - BotMed Application

ConditionName

Pyelonephritis (Upper UTI)

ConditionDescription

Symptoms

RUQ; LUQ; pain in the lower part of the back on either side; Flank pain; Symptoms of pyelonephritis often begin suddenly with chills; fever; nausea; and vomiting; 1/3 have symptoms of cystitis: frequent; urgent need to urinate and a burning or painful sensation while urinating (dysuria)

PhysicalFindings

Costovertebral angle (CVA) pain;

ClinicalTests

↑ WBC; ↑ ESR; ↑ CRP; WBC casts in UA; Positive urinary culture; 
Renal ultrasound: edema and focal hypoechogenic areas 
CT pelvis with IV contrast:  focal area(s) of hypoenhancement that extend to the cortical periphery

RiskFactors

Infections: E.coli, S.saprophyticus, Klebsiella, Proteus mirabilis, Candida	

Urinary abstractions
Immunocompromised
History of PN
DM
Frequent sex intercourse
Pregnancy

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Progression from cystitis

TreatmentOptions

PharmOptions

Ceftriaxone (same bioavailability for oral and IV)
Can be used in pregnancy

WebLink

https://www.merckmanuals.com/professional/genitourinary-disorders/urinary-tract-infections-utis/chronic-pyelonephritis?query=Pyelonephritis