PYELONEPHRITIS CAUSES , TYPES , SIGN AND SYMPTOMS , DIAGNOSIS AND TREATMENT ~ Medical diseases and trems ,symptoms causes TREATMENT

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PYELONEPHRITIS CAUSES , TYPES , SIGN AND SYMPTOMS , DIAGNOSIS AND TREATMENT

                                        PYELONEPHRITIS



             Inflammation of the renal pelvis and inflammation of the parenchyma .

    Nature of infection

                  Ascending infection due to vesicoureteral reflex most common   90%and haematogenous 10%.

TYPES OF PYELONEPHRITIS 

  1. ACCORDING TO OCCURANCE -

        - Acute pyelonephritis.

        - Chronic pyelonephritis.

  2. According to kidney involvement -

       - Unilateral [ most common ]

       - Bilateral  { rarely }.

CAUSES-

      E- Coli { Most common }

SIGN AND SYMPTOMS

  * Flank pain on affected site 

  * costovertebral angel tenderness 

  * Urgency and frequency .

  * Dysuria , pyuria , Haematuria , protein urea.

  * Nausea, vomiting , dehydration 

  * Fever 

  * Diaphoresis. 

DIAGNOSIS

   * History and physical examination

   * Urine analysis

   * Urine culture

   * Increase TLC and ESR

   * KUB X- ray

   * USG ABDOMAN AND KUB

   * Cystoscopy.

MANAGEMENT

    Medical management

         * Antibiotic

         * Diuretics 

         * Antipyretics

         * Analgesic 

         * Urinary track antiseptic .

    Nursing management 

       * check vital sign 

       * Input- Output  charting 

       * Health education.

   Diet management 

       * Increase fluid intake .

       * Acid ash diet to decrease PH of urine .

 

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