Last reviewed: 22 Nov 2024
Last updated: 17 Dec 2024
Summary
Definition
History and exam
Key diagnostic factors
- history of vesicoureteral reflux (VUR)
- history of acute pyelonephritis
- history of renal obstruction
Full details
Other diagnostic factors
- female sex
- nausea
- elevated blood pressure
- children and infants (risk of VUR)
- adults (risk of XGP and EPN)
- weight loss
- fatigue
- malaise
- cloudy urine
- fever
- back/flank pain and tenderness
Full details
Risk factors
- neurogenic bladder
- acute pyelonephritis
- vesicoureteral reflux
- obstruction
- renal calculi
- diabetes mellitus
Full details
Diagnostic tests
1st tests to order
- urinalysis
- renal function
- urine culture
- electrolyte panel
- CBC
- renal ultrasound
- kidney-ureter-bladder (KUB) radiograph
- CT abdomen
Full details
Tests to consider
- MRI abdomen
- voiding cystourethrography (VCUG)
- renal biopsy
Full details
Treatment algorithm
ONGOING
all patients
Contributors
Authors
Lynda A. Frassetto, MD
Professor of Medicine
Division of Nephrology
University of California
San Francisco
CA
Disclosures
LF declares that she has no competing interests.
Acknowledgements
Dr Frassetto would like to gratefully acknowledge the assistance of Donna M. Frassetto.
Disclosures
DMF declares that she has no competing interests.
Peer reviewers
Bernard G. Jaar, MD, MPH
Clinical Director
Johns Hopkins School of Medicine
Division of Nephrology
Baltimore
MD
Disclosures
BGJ declares that he has no competing interests.
Farah Abifaraj, MD
Clinical Associate
Johns Hopkins School of Medicine
Division of Nephrology
Baltimore
MD
Disclosures
FA declares that she has no competing interests.
James Marsh, MA FRCP
Consultant Nephrologist and Clinical Director
Renal Unit
St Helier Hospital
Carshalton
Surrey
UK
Disclosures
JM declares that he has no competing interests.
Differentials
- Acute pyelonephritis
- Renal calculi
- Renal cancer
More DifferentialsGuidelines
- Urological infections
- IDSA 2023 guidance on the treatment of antimicrobial resistant gram-negative infections
More GuidelinesPatient information
Kidney infection
Kidney stones
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