The diagnosis and management of a patient with acute pyelonephritis

Journal article


Hudson, Carly and Mortimore, Gerri 2020. The diagnosis and management of a patient with acute pyelonephritis. British Journal of Nursing. 29 (3), pp. 144-150. https://doi.org/10.12968/bjon.2020.29.3.144
AuthorsHudson, Carly and Mortimore, Gerri
Abstract

Lower urinary tract infections account for more than 224 000 hospital admissions each year and nearly all of these have the pathophysiological possibility to develop into pyelonephritis, known clinically as an upper urinary tract infection. Acute pyelonephritis is characterised by inflammation of the renal parenchyma caused by bacteriuria ascending from the bladder, up the ureters to the kidneys. Effective history taking, combined with refined physical examination skills, are the two most powerful tools to differentiate upper and lower urinary tract infections as well as assisting the practitioner to exclude other differential diagnoses. Utilisation of these skills by the practitioner, together with the recognised presenting symptom triad of flank pain, fever and nausea in this case study, enabled the diagnosis of acute pyelonephritis to be given.

KeywordsGeneral Nursing; pyelonephritis; diagnosis
Year2020
JournalBritish Journal of Nursing
Journal citation29 (3), pp. 144-150
PublisherMark Allen Group
ISSN0966-0461
2052-2819
Digital Object Identifier (DOI)https://doi.org/10.12968/bjon.2020.29.3.144
Web address (URL)http://hdl.handle.net/10545/624591
hdl:10545/624591
Publication dates13 Feb 2020
Publication process dates
Deposited16 Mar 2020, 11:24
Accepted01 Nov 2019
ContributorsUniversity of Derby
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