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Pyelonephritis is a kidney infection and is a form of a urinary tract infection (uti) Actually it is not a pure urology ward. Urinary tract infections (utis) is one of the most common kinds of viruses prone to everyone.

Pyelonephritis is a bacterial or viral infection of the kidney and it can spread if not treated Therefore, insertion of urinary catheter is extremely common in my work area People most at risk for pyelonephritis are those who have a bladder infection or a problem in the urinary tract

The possible symptoms are painful urination, groin pain, nausea and fever.

Acute pyelonephritis is defined as an acute infection of one or both kidneys Usually, the lower urinary tract is also involved (4) The kidney function could be damaged by other disease such as hypertension, diabetes mellitus, glomerulonephritis, pyelonephritis, renovascular diseases and inherited diseases such as polycystic kidney disease [5] , [6]. Collaboratively, urinalysis, culture and sensitivity were done to detect asyptomatic bacteriuria, a precursor to event pyelonephritis, to which the diabetes is especially prone

Midwives also performed a fundal examination, initially and subsequently atleast once a trimester for mrs B to detect any vascular changes accompanying diabetes Consultations are a vital part of assessment and diagnosis during the patients journey, it is imperative for the practitioner to carry this out in a holistic and systematic manner in order to pro Most patients can distinguish back pain due to pyelonephritis or abdominal pain due to cholecystitis, for instance, from their typical sickle cell pain (anglin, 2007)

Emergency cases include acute retention of urine, renal stone, acute pyelonephritis and heamaturia etc

Also there are cases that include renal stone, tumour of bladder, carcinoma of kidney, neurogenic bladder for operation etc

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