Pyelonephritis

Question 1

Acute

Answer 1

Affects cortex with relative sparing of glomeruli/vessels

Question 2

Acute presentation

Answer 2

fever, costovertebral angle tenderness, nausea, and vomiting

Question 3

Acute finding

Answer 3

White cell casts in urine

Question 4

Chronic

Answer 4

Require predisposition to infection such as vesicoureteral reflux or chronically obstructing kidney stones

Question 5

Chronic finding

Answer 5

coarse,
asymmetric corticomedullary scarring,
blunted calyx

Tubules can contain eosinophillic cast
(thyroidization of kidney)