Wk 5 Pyelonephritis Flashcards Preview

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Flashcards in Wk 5 Pyelonephritis Deck (15)
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1
Q

What are the clinical manifestations of pyelonephritis?

A

Mild fatigue to sudden onset of chills, fever, vomiting, flank pain

2
Q

What is flank pain in a UTI?

A

CVA tenderness

3
Q

What are 3 additional tests for pyelonephritis?

A

WBC w diff
Imaging tests
Blood culture

4
Q

Why would we do a blood culture for pyelonephritis?

A

If bacteremia or urosepsis was suspected

5
Q

What are the immature neutrophils called?

A

bands

6
Q

Where is the costovertebral angle?

A
7
Q

Kidneys are not __

A

palpable

8
Q

How do you assess for CVA tenderness?

A
9
Q

What is the outpatient management for pyelonephritis? (3)

A

Adequate PO intake

NSAIDs/antipyretic drugs

Follow up urine culture and imaging studies

10
Q

When would pyelonephritis be treated on an outpatient basis?

A

If the patient has mild symptoms

11
Q

What it the initial treatment for pyelonephritis?

A

Broad-spectrum antibiotics and then switching to more specific when culture comes back

12
Q

When are cultures/imaging repeated after treatment of pyelonephritis?

A

14-21 days

13
Q

If a patient is hospitalized what would we do concerning PO intake?

A

Parentally initially, but then switch to oral when nausea, vomiting, and dehydration subside

14
Q

If a patient with pyelonephritis presents with severe symptoms they will be…

A

hospitalized

15
Q

What will the treatment be for a patient hospitalized with pyelonephritis? (4)

A

Adequate PO intake

NSAIDs/antipyretic drugs

FU culture/imaging

Parenteral antibiotics