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    The diagnosis and management of a patient with acute pyelonephritis

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    Authors
    Hudson, Carly
    Mortimore, Gerri cc
    Affiliation
    University of Derby
    Issue Date
    2020-02-13
    
    Metadata
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    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.
    Citation
    Hudson, C. and Mortimore, G., (2020). 'The diagnosis and management of a patient with acute pyelonephritis'. British Journal of Nursing, 29(3), pp. 144-150.
    Publisher
    Mark Allen Group
    Journal
    British Journal of Nursing
    URI
    http://hdl.handle.net/10545/624591
    DOI
    10.12968/bjon.2020.29.3.144
    Additional Links
    https://www.magonlinelibrary.com/doi/full/10.12968/bjon.2020.29.3.144
    Type
    Article
    Language
    en
    ISSN
    0966-0461
    EISSN
    2052-2819
    ae974a485f413a2113503eed53cd6c53
    10.12968/bjon.2020.29.3.144
    Scopus Count
    Collections
    School of Nursing and Professional Practice

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