Pyelonephritis and Urinary Tract Infection

Chief Compliant: The patient is a 50 year old female with diabetes who complains of flank pain for 8 hours.

History of the Present Illness: Dysuria, frequency (repeated voiding of small amounts), urgency; suprapubic discomfort or pain, hematuria, fever, chills, (pyelonephritis); back pain, nausea, vomiting.

History of urinary infections, renal stones or colicky pain. Recent antibiotic use, prostate enlargement. Diaphragm use.

Risk factors: Diaphragm or spermicide use, sexual intercourse, elderly, anatomic abnormality, calculi, prostatic obstruction, urinary tract instrumentation, urinary tract obstruction, catheterization.

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