Upper UTI

Question 1

what is an upper UTI called

Answer 1

pyelonephritis

Question 2

what is pyelonephritis

Answer 2

inflammation of the renal pelvic and parenchyma

Question 3

what type of forms are there

Answer 3

acute and chronic

Question 4

Aetiology of pyelonephritis

Answer 4

risks are the same as lower UTI

- e.coli

Question 5

Risks of pyelonephritis

Answer 5

suppressed immune response
catheterization
urine reflux
diabetes (just a higher risk for infections in general)

Question 6

Patho of pyelonenephritis

Answer 6

progresses in an ascending order

inflammation - tissue damage- formation of collagen depositions (fibrosis and scar formation)

Question 7

what happens if the infection gets into the circulation

Answer 7

causes septicemia

Question 8

what does fibrosis/scar formation cause

Answer 8

decrease in functional tissue therefore a decrease in renal function

Question 9

What is the patho of the chronic form

Answer 9

recurrent inflammation causes urinary reflux/ obstruction

renal damage leads to renal failure

Question 10

Manifestations of Upper UTI

Answer 10

acute onset
lower back pain
fever
dysuria
frequency
urgency
pyuria

Question 11

what is a complication of Upper UTI!

Answer 11

severe HTN

Question 12

Treatment

Answer 12

Ab (10-14 days long d/t advanced bacterium

- may consider IV Ab