A 29yo lady admitted with hx of repeated UTI now developed hematuria with loin pain. What is the most probable dx?
a. Acute pyelonephritis
b. Chronic pyelonephritis
c. UTI
d. Bladder stone
answer:B
Loin pain= pyelonephritis, recurrent UTI=VUR..........Chronic pyelonephritis is characterized by renal inflammation and
fibrosis induced by recurrent or persistent renal infection,
vesicoureteral reflux, or other causes of urinary tract obstruction.
n.b. Bladder stone would cause suprapubic pain, UTI would cause frequency/dysuria w/o loin poin, acute pyelonephritis: fever would be present
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