BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 发热

其他诊断因素

  • 恶心和呕吐
  • 排尿困难、尿频或尿急
  • 胁腹痛或肋脊角压痛

危险因素

  • 频繁性交
  • 尿路感染
  • 糖尿病
  • 压力性尿失禁

诊断性检查

首要检查

  • 尿液分析
  • 革兰氏染色
  • 尿液培养
  • 全血细胞计数
全部具体信息

需要考虑的检查

  • 99mTc-DMSA 闪烁显像
  • 增强螺旋 CT
  • 磁共振成像 (magnetic resonance imaging, MRI)
  • 肾脏超声
全部具体信息

新兴检查

  • 白细胞介素
  • 和肽素
全部具体信息

治疗流程

贡献者

Professor of Medicine

Division of Nephrology

University of California

San Francisco

CA

利益冲突披露
LAF declares that she has no competing interests.

Dr Lynda A. Frassetto would like to gratefully acknowledge the assistance of Donna M. Frassetto. DMF declares that she has no competing interests.

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Attending Urologist

Providence Saint Joseph Medical Center

Burbank

Assistant Clinical Professor of Urology

Department of Urology

David Geffen School of Medicine at UCLA

Los Angeles

CA

利益冲突披露
JL declares that he has no competing interests.

Consultant Nephrologist/Lead Clinician

Renal Unit

Glasgow Royal Infirmary

NHS Greater Glasgow and Clyde

Glasgow

UK

利益冲突披露
RM declares that he has no competing interests.

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