UTI and complications

Question 1

What is the presentation of urinary sepsis?

Answer 1

Fever
Loin pain
Urinary symptoms

Question 2

What are the complications if left untreated of UTI?

Answer 2

Pyelonephritis
Pyonephrosis
Septic shock
Multi organ failure
ARDS
Death

Question 3

What is the presentation of pyelonephritis?

Answer 3

Typically young females
Loin pain, fever, rigors
Signs of sepsis

Question 4

What is the management of pyelonephritis?

Answer 4

Fluid resuscitation
IV cefotaxime or ampicillin/gentamicin (4mg/kg)
USS as indicated
First UTI in males needs full investigation

Question 5

What medication can be given in pregnancy for pyelonephritis?

Answer 5

Amoxicillin / cephalosporin

Question 6

What is pyonephrosis?

Answer 6

Pus in kidney

Infected obstructed kidney

Question 7

What is the management for pyonephrosis?

Answer 7

Needs urgent drainage
Rapid suppurative irreversible damage to kidney
Nephrostomy vs stent - discuss with senior