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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...

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Transabdominal Ultrasound for Pregnancy Diagnosis in Reeves' Muntjac Deer
09:26

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Published on: January 7, 2014

[Kidney abscess during pregnancy. A case report].

Leonor Santos1, Augusta Borges, Fátima Serrano

  • 1Serviço de Medicina Materno Fetal, Maternidade Alfredo da Costa, Lisboa, Portugal.

Acta Medica Portuguesa
|March 23, 2007
PubMed
Summary

Kidney abscesses are rare in pregnancy, often stemming from urinary tract infections. This case highlights the importance of recognizing symptoms like fever and flank pain for timely diagnosis and treatment.

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Area of Science:

  • Nephrology
  • Obstetrics
  • Infectious Diseases

Background:

  • Urinary tract infections (UTIs) are common during pregnancy.
  • Renal abscess development is a rare complication of UTIs in pregnant individuals.
  • The primary cause of renal abscess has shifted towards preceding UTIs.

Observation:

  • A 35-year-old pregnant woman presented with fever, nausea, vomiting, and right flank pain.
  • Clinical examination and diagnostic tests confirmed a diagnosis of renal abscess.
  • This case prompted a review of existing literature on pregnancy-related renal abscesses.

Findings:

  • The case underscores the possibility of renal abscess formation even in rare instances during pregnancy.
  • Prompt diagnosis relies on recognizing key clinical signs and utilizing appropriate diagnostic imaging.
  • Literature review indicates a strong association between prior UTIs and current renal abscess.

Implications:

  • Early recognition and management of UTIs in pregnancy are crucial to prevent severe complications like renal abscess.
  • This case emphasizes the need for vigilance in diagnosing flank pain and fever in pregnant patients.
  • Further research may elucidate specific risk factors and optimal treatment strategies for renal abscess in pregnancy.