第二十九单元 泌尿系感染（Twenty-ninth unit urinary tract infection）.docVIP

第二十九单元 泌尿系感染（Twenty-ninth unit urinary tract infection） Twenty-ninth unit urinary infection.Txt fashion, that is, so that the annual salary of eight thousand of people look like one hundred thousand annual salary. We always ask men to have the same looks and abilities as fathers. You can meet a person in one minute, one hour to like someone, and one day to love someone, but it takes all your life to forget someone. Twenty-ninth unit urinary tract infection Section 1 acute pyelonephritis Diagnosis and differential diagnosis (1) diagnostic points Acute onset, with or without frequent urination, urgency, dysuria, often lumbago, costovertebral angle tenderness or (and) pain and symptoms of systemic infection such as fever, chills, headache, nausea, vomiting, elevated white blood cell. Blood culture may be positive, and the count of bacteria in the culture of clean midstream urine is of great significance to determine bacteriuria: 105/ml is positive, 104/ml is pollution, 104 ~ 105/ml should be reviewed or combined with clinical comprehensive consideration. Because the reproduction of the coccus is slow, so 103 is of diagnostic significance. The common pathogenic bacteria were Escherichia coli, followed by Proteus, Klebsiella and so on. (two) the main points of differential diagnosis 1. febrile diseases: influenza, typhoid, malaria pyelonephritis, sepsis and systemic symptoms similar to prominent, should ask detailed history, pay attention to the urinary system, especially urine tests, such as leukocytes and bacteriological examination positive diagnosis support of acute pyelonephritis. 2., abdominal organ disease: easily with abdominal pain and digestive symptoms, accompanied by fever and blood white cells increased pyelonephritis confused, should be alert to acute gastroenteritis, appendicitis, annex inflammation, etc.. At this point in detail to ask for medical history, timely urine tests will help identify. 3., distinguish between the upper and lower urinary tract