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This Concept Map, created with IHMC CmapTools, has information related to: pyelonephritis and hydronephrosis, Will show a presence of WBC's and bacteria 100,000 colonies/ml of enterococcus MY PATIENT's LAB, Diet therapy Strict I/O, Radiographic assessments x-ray of kidneys and bladder, Treatments Diet therapy, PYELONEPHRITIS with mild hydronephrosis (kidney stones) Pathophysiology, Urinalysis Obtain by Straight Cath, PYELONEPHRITIS with mild hydronephrosis (kidney stones) Diagnostic Tests, S/Sx Chills, tachypnea, tender costal vert. angle, fatigue, nocturia, & frequent urination. N/A to my patient., Computerized tomography My patient showed evidence of three stones in R kidney with some hydronephrosis MY PATIENT, Obstruction Kidney stones Hydronephrosis, Antibiotic therapy usually start on broad spectrum. My Patient is on ceftriaxione, Reflux, during micturition up the ureter into the kidney. Contributes to infection Contributes to Infection spread by ascending microorganisms along the ureters. (likely) MY PATIENT, Kidney stones Hydronephrosis ???? Dysuria from the kidney stones seen. in MY PATIENT, Obstruction and stasis of urine conribute to bacteriuria and hydro- nephrosis; irritation of epithelial lining with entrapment of bacteria stasis urine allows perfect breeding enviornment for bacterial growth, Result from an active bacterial infection Infection spread by ascending microorganisms along the ureters. (likely) MY PATIENT, Obstruction ???? due to the dilation and relaxation of ureter with hydronephrosis. SEEN IN MY PATIENT, Reflux, during micturition up the ureter into the kidney. Contributes to infection ???? Causative & risk Factors, Radiographic assessments Intravenous pyelography, S/Sx ???? Hyponatremia, Infection spread by ascending microorganisms along the ureters. (likely) MY PATIENT Infection causes medullary infiltration of WBC with renal inflammation, renal edema, and purulent urine.