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Related Concept Videos

Formation of Concentrated Urine01:23

Formation of Concentrated Urine

There is a gradient of solutes in the interstitial fluid from the renal cortex through the medulla, known as the medullary osmotic gradient. The juxtamedullary nephrons establish and maintain this gradient using countercurrent mechanisms with loops extending deep into the medulla. These nephrons also use countercurrent mechanisms to regulate urine volume and concentration. The interaction between the descending and ascending limbs of the nephron loop creates an osmotic gradient through...
Physiology of the Genitourinary System III: Urine Concentration and Dilution01:20

Physiology of the Genitourinary System III: Urine Concentration and Dilution

The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

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...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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 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...

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Related Experiment Video

Updated: Jul 9, 2026

Establishment and Characterization of UTI and CAUTI in a Mouse Model
08:40

Establishment and Characterization of UTI and CAUTI in a Mouse Model

Published on: June 23, 2015

Urinary concentrating ability in early experimental pyelonephritis.

D Kaye, H Rocha

    The Journal of Clinical Investigation
    |July 1, 1970
    PubMed
    Summary

    Early experimental pyelonephritis in rats impairs urinary concentrating ability, but this defect is reversible and not linked to permanent kidney damage. Recovery of concentrating function correlates with reduced bacterial load.

    Area of Science:

    • Nephrology
    • Infectious Diseases
    • Experimental Medicine

    Background:

    • Pyelonephritis, a kidney infection, can potentially impair renal function.
    • Understanding the impact of early-stage pyelonephritis on urinary concentrating ability is crucial for assessing reversibility and prognosis.

    Purpose of the Study:

    • To investigate the effect of experimental bilateral pyelonephritis on the urinary concentrating ability of rats.
    • To determine if the observed concentrating defect is reversible and its correlation with bacterial load and renal histology.

    Main Methods:

    • Rats were infected with Enterococcus, Staphylococcus aureus, or Escherichia coli to induce pyelonephritis.
    • Urinary concentrating ability was assessed by measuring maximum urinary osmolality.
    • Effects of antimicrobial therapy on bacterial titers, osmolality, and recovery were evaluated.

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    Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
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    Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes
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    Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes

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    Last Updated: Jul 9, 2026

    Establishment and Characterization of UTI and CAUTI in a Mouse Model
    08:40

    Establishment and Characterization of UTI and CAUTI in a Mouse Model

    Published on: June 23, 2015

    Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
    06:09

    Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis

    Published on: July 18, 2017

    Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes
    11:47

    Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes

    Published on: March 4, 2022

    Main Results:

    • Experimental pyelonephritis significantly reduced maximum urinary osmolality in rats.
    • The concentrating defect was reversible, with osmolality returning to normal levels as bacterial infections cleared.
    • Rapid decrease in bacterial titers correlated with improved urinary concentrating ability, independent of histological findings.

    Conclusions:

    • Early experimental pyelonephritis causes a transient defect in urinary concentrating ability.
    • The concentrating defect is rapidly reversible and not indicative of permanent renal damage.
    • Recovery of renal concentrating function is directly linked to the resolution of bacterial infection.