Download Renal abscess

Renal abscess
• results from ascending urinary infection, often
with virulent strains of Gram-negative rods.
Infection initially involves the renal tubules
and interstitium
• haematogenous seeding from septic emboli
-intravenous drug users, immuno
compromised patients, and patients with a
known extrarenal source of infection such as
endocarditis or a skin or dental infection.
• Ultrasounds and CT scan are most helpful in
recognizing a renal abscess
• CT scan -diagnostic procedure of choice with
an accuracy of about 96 percent
patient
Renal abscess
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21 y/o, female
Fever
Chills
Left flank pain
(-)hypogastric pain
• Fever
• Chills
• flank pain
• abdominal pain
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(-) weight loss
(-)dysuria
(-) hematuria
(+) pyuria
(+) Bacteruria
(+) CVA tenderness
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– Pain maybe referred to groin or
leg
weight loss
Dysuria
Hematuria
Pyuria
Bacteruria
Palpable mass
CVA tenderness