AcutePyelonephritis.pptVIP

Acute Pyelonephritis 姜岱山 Introduction Last summer holiday one of my friends told me that she was ill. And she had been on a drip for 7 days. What’s wrong with her? She told me she got acute pyelonephritis. Main Contents What is acute pyelonephritis APN is a common suppurative inflammation of kidney and the renal pelvis. APN is caused by bacterial infection, principally E-coil. APN is an important manifestation of urinary tract infection. Etiology and pathogenesis Features Histological macrograph Complications pyonephrosis Clinical Prognosis Company Logo L o g o 1. What is APN 2. Etiology and pathogenesis 3. Features 4. Complications 5. Clinical 6. Prognosis Urinary tract obstruction APN Infection ①hematogenous spread ②ascending infection Suppurative inflammation interstitial patchy Gross patterns discrete, yellowish, raised abscesses are grossly apparent on the renal surface Histological tubular necrosis, and neutrophilic casts, and abscesses formation APN Features Three complications Acute pyelonephritis Acute necrotizing paplillitis pyonephrosis Perinephric abscesses 1 The onset is usually sudden, with pain at costovertebral angle. 2 Systemic evidence of infection such as fever and malaise. 3 Frequency, urgency, urine pain. Pyuria, bacteriuria, albuminuria, cylindruria, hematuria recovery(most) treatment is delayed. active treatment chronic pyelonephritis Company Logo