症例 challenge · Infectious disease / Urology / Emergency · teaching

Acute Pyelonephritis — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

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Case #1Infectious disease / Urology / Emergency

📋 Case data

Complicated or uncomplicatedComplicated/sepsis/vomiting/pregnancy/obstruction

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Complicated or uncomplicated

Complicated or uncomplicated? Can it be treated orally as an outpatient?

💡 Clinical diagnosis: fever, flank pain/CVA tenderness (flank pain is nearly always present), ± lower urinary tract symptoms, nausea/vomiting; urinalysis (pyuria/bacteriuria) supports it, send a urine culture in all patients (E. coli most common). Complicating factors: male, pregnancy, structural/functional urinary tract abnormality, stones, catheter, immunosuppression, diabetes, AKI, sepsis, obstruction.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.