Pyelonephritis
Ms. Cornwall is admitted with pyelonephritis. She has chills, and her temperature is 101°F. She is complaining of flank pain, frequency, and dysuria. Her urine has white blood cell casts and shows growth of Escherichia coli (E. coli).
Based on the above scenario, answer the following questions:
- Why does she have bacteria and white blood cell casts in her urine?
- Include the pathophysiological response of body for your analysis.
- What are the differences when comparing prerenal acute renal failure, intrarenal acute renal failure, and postrenal acute renal failure? Give examples of each and pathological processes related to each individual disease process.
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Why does she have bacteria and white blood cell casts in her urine?
The reasons why Ms. Cornwall has bacteria and blood cells in her urine is because of she suffers from pyelonephritis. In this condition, bacteria invade and multiply the renal parenchyma cells. The bacteria may have reached the kidneys by ascending from the lower urinary tract. Also, the bacteria may reach the kidney through the blood stream (Mahesan et al., 2015). By …
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