Pyelonephritis

Pyelonephritis

1-Definition and Causes

It is highly fatal chronic purulent infection of pelvic portion of the kidney ,ureter and bladder developed by ascending infection from urinary tract .

It is caused by infection with coryn bacteria renale .

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2- Clinical Findings

A-Postparturient type:

loss of condition,emaciation,fetid discharges from genital tract, pus and blood in the urine and vagina .

B-Ureter colic type :

Restlessness,kicking of the abdomen,arched back,passage of blood clots and casts through the ureter frequent hemorrhage causes paleness of mucous membrane .

C-Cystitis tye :

Frequent urination,straining and passage of small amount of blood urine .

                                                     

3-Diagnosis

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   Rectal palpation revelead enlargeg kidney (left kidney can palpate), loss of lobulation and painful on palpation .Presence of blood (RBC),pus and castes in the urine.

4-line of treatment

·         Give antibiotic.

·         Urinary antiseptic.

·         Change urine pH.

·         Use diuretics.

·         Use sedatives.

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