Etiology: coliform, E-coli, WBC's & casts present.
Patho: acute infection of the ureter, renal pelvis, &/or renal parenchyma.
Manifestations: very sick, flank pain, fever/chills, CVA tenderness, purulent urine, decreased appetite, dehydration.
Risks: premature infants, females, spermicide users, antibiotic treatment, catheters, hormone deficient, DM, & bladder dysfunction.
S&S: asymptomatic in pregnancy & elderly, dysuria, frequency, burning, low back pain, & supra pubic pain. Elderly- lethargy, confusion, anorexia, & anxiety
Renal- hematuria, dull & aching flank pain, & palpable flank mass in thinner individuals. Elderly- weight loss, fatigue, intermittent fever, anemia, polycythemia, HTN, alterations in liver function.
Bladder- gross painless microscopic hematuria, lower UT symptoms, daytime voiding frequency, nocturia, urgency, urge urinary incontinence. Flank pain if tumor obstructs.
Azotemia & uremia. Alterations in fluid & electrolytes, metabolic acidosis, anemia, hypophosphatemia, hypokalemia, HTN, anorexia, N/V, diarrhea, constipation, malnutrition & weight loss, pruritus, edema, neurologic and cardiovascular disease, and skeletal changes. Infection of hair follicle. Bacterial, fungal, or viral, common Staph Aureus. Proliferation of organisms around the hair follicle, then spreads into the follicle. Pustules with area of erythema. Scalp, extremities, and rarely causes systemic symptoms. Due to prolonged skin moisture, occlusive clothing, topical agents, skin trauma like shaving, and poor hygiene. Can be caused by MRSA or group B streptococci. Associated with chronic venous insufficiency, stasis dermatitis DM, insect bite, immune suppression, tinea pedis, and edema. Redness, firm, painful, warm, swollen, erythematous, and edematous. It is a soft tissue infection. Can move into lymph nodes and become systemic.