Peds Urinary

Pyelonephritis

acute inflammatory renal diseased caused by bacteria

pyelonephritis
signs and symptoms

N/V, anorexia, fever, malaise, cloudy, foul smelling urine,
urgency/dysuria, abdominal/flank pain

pyelonephritis
treatment

hospital if bad, Urine C & S, IV antibiotics, PO antibiotics, antipyretics

acute glomerulonephritis

bilateral inflammation changes in the glomeruli, not an infection
most likely caused by an infection

acute glomerulonephritis
signs & symptoms

strep, urine dark and smoky, oliguria, edema of the face, increase in
weight, vomiting and anorexia, increase in BP and headache, fatigue

acute glomerulonephritis
treatment

fluid balance, diuretics, antihypertensives, antibiotic is they still
have strep

nephrotic syndrome

increase permeability of glomerular membrane to plasma protein

nephrotic syndrome
signs and symptoms

edema, proteinuria, decrease urine, vomiting, diarrhea, straie,
increase in weight

nephrotic syndrome
treatment

corticosteroids (prednisone), immunosuppressive (cytoxin)

hydronephrosis

obstructive, urine can't leave kidney, congenital or progressive

hydronephrosis
signs and symptoms

pain, hematuria, polyuria

hydronephrosis
treatment

receive obstruction, surgery, antibiotic if infection

UTI

bacteria with or without signs and symptoms of inflammation
e cloi

UTI
signs and symptoms

fever, frequency/urgency, dysuria, enuresis, foul smelling urine,
abdominal pain, vomiting

UTI
symptoms if less than 2

vomiting/diarrhea, fussy

UTI
treatment

culture & sensitivity, urinalysis, antibiotics

hypospadias

pee hole under the penis

epispadis

pee hole on top of the penis

cryptochidism

the testes fail to decend

oxybutynin
anticolineric

reduces bladder contraction

desmopressin
antidiuretic

decrease in volume

imipramine
tricyclic

inhibits urination, suicidal thoughts, jittery, 6-8 weeks