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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

208
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...
208
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

339
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
339
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

353
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...
353
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

474
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
474
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

504
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
504
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

764
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
764

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Related Experiment Videos

Diverticular Pylephlebitis and Polymicrobial Septicemia.

Pradhum Ram1, Kamolyut Lapumnuaypol1, Chitra Punjabi1

  • 1Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA.

Case Reports in Infectious Diseases
|February 7, 2017
PubMed
Summary
This summary is machine-generated.

Diverticulitis can rarely lead to pylephlebitis, a serious infection of the portal vein. This case highlights successful management of polymicrobial sepsis from diverticular pylephlebitis using bowel rest, antibiotics, and anticoagulation.

Related Experiment Videos

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Diverticulitis commonly affects the sigmoid colon, with known complications including abscesses and fistulas.
  • Mesenteric venous thrombosis is a rare complication of diverticulitis.
  • Pylephlebitis, or septic thrombophlebitis of the portal venous system, is an uncommon but severe sequela.

Observation:

  • This report details the first documented case of polymicrobial sepsis originating from diverticular pylephlebitis.
  • The patient presented with severe sepsis secondary to the infected thrombus in the portal vein system.

Findings:

  • Successful management was achieved through a combination of conservative measures: bowel rest, broad-spectrum antibiotics, and anticoagulation therapy.
  • This multimodal approach effectively resolved the sepsis and thrombus, preventing further complications.

Implications:

  • This case suggests that a conservative management strategy including anticoagulation may be effective for diverticular pylephlebitis.
  • Further research is warranted to establish optimal treatment guidelines for this rare condition.
  • Early recognition and prompt treatment are crucial for improving outcomes in patients with diverticular pylephlebitis.