Emphysematous pyelonephritis: Difference between revisions
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(clinical features of emphysematous pyelonephritis) |
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==Clinical Features== | ==Clinical Features== | ||
*fever | |||
*abdominal or flank pain | |||
**crepitus over the flank may be present in severe cases | |||
*nausea/vomiting | |||
*dyspnea | |||
*acute kidney injury | |||
*altered mental status | |||
*shock | |||
*thrombocytopenia | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 16:05, 19 July 2015
Background
- Rare gas-forming infection nearly always occurring in pts w/ DM and obstruction
- Pts appear toxic and septic; nephrectomy may be required
Clinical Features
- fever
- abdominal or flank pain
- crepitus over the flank may be present in severe cases
- nausea/vomiting
- dyspnea
- acute kidney injury
- altered mental status
- shock
- thrombocytopenia
Differential Diagnosis
Dysuria
- Genitourinary infection
- Acute cystitis ("UTI")
- Pyelonephritis
- Urethritis
- Chronic cystitis
- Infected nephrolithiasis
- Prostatitis
- Epididymitis
- Renal abscess/perinephric abscess
- Emphysematous pyelonephritis
- Nephrolithiasis
- Urethral issue
- Urethritis
- Urolithiasis
- Urethral foreign body
- Urethral diverticulum
- Allergic reaction (contact dermatitis)
- Chemical irritation
- Urethral stricture or obstruction
- Trauma to vagina, urethra, or bladder
- Gynecologic
- Vaginitis/cervicitis
- PID
- Genital herpes
- Pelvic organ prolapse
- Fistula
- Cystocele
- Other
- Diverticulitis
- Interstitial cystitis
- Behavioral symptom without detectable pathology