Pyelonephritis

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Kingdoms of Life

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Pathologic Patterns of Inflammation

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Pyelonephritis

Microscopic exam findings

Granular, RTE, or waxy casts

WBC casts

RTE

RBC

Bacteria

WBC

Chemical exam findings

Normal to low specific gravity

Small blood

Positive nitrite

Positive leukocyte esterase

Small protein

Clinical presentation

Elderly patients have mental distress

fever symptoms

Flank pain

Nocturne

dysuria

Sudden onset

Physical exam findings

Yellow and hazy, possibly cloudy or turbid

Definition

Large amounts of white blood cells accumulate in the tubules

Advanced pyelonephritis involves the tubules which become necrotic

Acute inflammation of the kidney

Most common upper UTI