Pyelonephritis x ray: Difference between revisions

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{{Pyelonephritis}}
{{Pyelonephritis}}
 
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==Overview==
==Overview==
An x-ray may be helpful in the diagnosis of pyelonephritis, its risk factors, and complications. Some patients with pyelonephritis have [[kidney stone]] which might be visible on x rays of the [[Kidney|kidneys]], [[ureter]]s, and [[Urinary bladder|bladder]] ([[Kidneys, ureters, and bladder|KUB]]).


==X Ray==
==X Ray==
* If a [[kidney stone]] is suspected (e.g. on the basis of characteristic [[Renal colic|colicky pain]], disproportionate amount of blood in the urine), [[X-ray]]s of the kidneys, [[ureter]]s and [[Urinary bladder|bladder]] (KUB) may assist in identifying radio opaque stones.
* An x-ray may be helpful in the diagnosis of pyelonephritis, its risk factors, and complications.<ref name="pmid21292654">{{cite journal| author=Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG et al.| title=International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. | journal=Clin Infect Dis | year= 2011 | volume= 52 | issue= 5 | pages= e103-20 | pmid=21292654 | doi=10.1093/cid/ciq257 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21292654  }} </ref><ref name="pmid15768623">{{cite journal| author=Ramakrishnan K, Scheid DC| title=Diagnosis and management of acute pyelonephritis in adults. | journal=Am Fam Physician | year= 2005 | volume= 71 | issue= 5 | pages= 933-42 | pmid=15768623 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15768623  }} </ref><ref name="Government Guidelines">Government guidelines| http://www.guideline.gov/summary/summary.aspx?doc_id=13683&nbr=007017&string=pyelonephritis </ref>
* '''Emphysematous Pyelonephritis''': Conventional radiography may demonstrate gas bubbles overlying the renal fossa or may show a diffusely mottled kidney with radially oriented gas corresponding to the renal pyramids.  
* Some patients with pyelonephritis have [[kidney stone]] which might be visible on x rays of the [[Kidney|kidneys]], [[ureter]]s, and [[Urinary bladder|bladder]] ([[Kidneys, ureters, and bladder|KUB]]).<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/9931">rID: 9931</ref><ref name="pmid1571421">{{cite journal| author=Johnson JR, Vincent LM, Wang K, Roberts PL, Stamm WE| title=Renal ultrasonographic correlates of acute pyelonephritis. | journal=Clin Infect Dis | year= 1992 | volume= 14 | issue= 1 | pages= 15-22 | pmid=1571421 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1571421  }} </ref><ref name="pmid3052346">{{cite journal| author=Kanel KT, Kroboth FJ, Schwentker FN, Lecky JW| title=The intravenous pyelogram in acute pyelonephritis. | journal=Arch Intern Med | year= 1988 | volume= 148 | issue= 10 | pages= 2144-8 | pmid=3052346 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3052346  }} </ref>
* [[Emphysematous pyelonephritis]]: X ray may depict the presence of gas bubbles.
* Xanthogranulomatous pyelonephritis: X ray may show presence of a calculus which is most commonly involved in the pathophysiology of xanthogranulomatous pyelonephritis.
[[Image:Www.Acute pyelonephritis.gif|thumb|500px|left|Xanthogranulomatous Pyelonephritis with fragmented branching stone. Source: Radiopedia<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/9931">rID: 9931</ref>]]
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 23:54, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

An x-ray may be helpful in the diagnosis of pyelonephritis, its risk factors, and complications. Some patients with pyelonephritis have kidney stone which might be visible on x rays of the kidneys, ureters, and bladder (KUB).

X Ray

  • An x-ray may be helpful in the diagnosis of pyelonephritis, its risk factors, and complications.[1][2][3]
  • Some patients with pyelonephritis have kidney stone which might be visible on x rays of the kidneys, ureters, and bladder (KUB).[4][5][6]
  • Emphysematous pyelonephritis: X ray may depict the presence of gas bubbles.
  • Xanthogranulomatous pyelonephritis: X ray may show presence of a calculus which is most commonly involved in the pathophysiology of xanthogranulomatous pyelonephritis.
Xanthogranulomatous Pyelonephritis with fragmented branching stone. Source: Radiopedia[4]


References

  1. Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG; et al. (2011). "International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases". Clin Infect Dis. 52 (5): e103–20. doi:10.1093/cid/ciq257. PMID 21292654.
  2. Ramakrishnan K, Scheid DC (2005). "Diagnosis and management of acute pyelonephritis in adults". Am Fam Physician. 71 (5): 933–42. PMID 15768623.
  3. Government guidelines| http://www.guideline.gov/summary/summary.aspx?doc_id=13683&nbr=007017&string=pyelonephritis
  4. 4.0 4.1 Radiopaedia.org. Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/9931">rID: 9931
  5. Johnson JR, Vincent LM, Wang K, Roberts PL, Stamm WE (1992). "Renal ultrasonographic correlates of acute pyelonephritis". Clin Infect Dis. 14 (1): 15–22. PMID 1571421.
  6. Kanel KT, Kroboth FJ, Schwentker FN, Lecky JW (1988). "The intravenous pyelogram in acute pyelonephritis". Arch Intern Med. 148 (10): 2144–8. PMID 3052346.

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