Perinephric abscess - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2024-06-05T21:28:23Z

Differential Diagnosis

← Older revision		Revision as of 21:28, 5 June 2024
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Flank pain DDX}}
	{{Dysuria DDX}}		{{Dysuria DDX}}

Rossdonaldson1: /* Background */

2020-05-02T11:18:17Z

Background

← Older revision		Revision as of 11:18, 2 May 2020
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	==Background==		==Background==
	[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]		[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]
	[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space~~. The posterior pararenal space (PPS) and anterior~~ pararenal space ~~(APS) have been exaggerated to provide representation of their relation~~ to ~~other~~ retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia]]		[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space with exaggerated pararenal space to show retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia.]]
	*An [[abscess]] of the perinephric fat that abuts the renal cortex		*An [[abscess]] of the perinephric fat that abuts the renal cortex
	*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding		*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding

Rossdonaldson1: /* Background */

2020-05-02T11:16:28Z

Background

← Older revision		Revision as of 11:16, 2 May 2020
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	==Background==		==Background==
	[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]		[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]
			[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space. The posterior pararenal space (PPS) and anterior pararenal space (APS) have been exaggerated to provide representation of their relation to other retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia]]
	*An [[abscess]] of the perinephric fat that abuts the renal cortex		*An [[abscess]] of the perinephric fat that abuts the renal cortex
	*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding		*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding

Rossdonaldson1: /* Background */

2020-05-02T10:48:40Z

Background

← Older revision		Revision as of 10:48, 2 May 2020
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	==Background==		==Background==
			[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]
	*An [[abscess]] of the perinephric fat that abuts the renal cortex		*An [[abscess]] of the perinephric fat that abuts the renal cortex
	*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding		*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding

Rossdonaldson1 at 10:27, 2 May 2020

2020-05-02T10:27:08Z

← Older revision		Revision as of 10:27, 2 May 2020
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	{{Perinephric vs Renal Abscess}}		{{Perinephric vs Renal Abscess}}

			{{UTI types}}

	==Clinical Features==		==Clinical Features==

ClaireLewis at 17:15, 16 October 2019

2019-10-16T17:15:09Z

← Older revision		Revision as of 17:15, 16 October 2019
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	**Imaging modality of choice		**Imaging modality of choice
	**Sensitivity ~90%.		**Sensitivity ~90%.
	*Renal ultrasound - A fluid filled mass extending from the renal cortex into the perinephric fat can be seen.		*[[Renal ultrasound]] - A fluid filled mass extending from the renal cortex into the perinephric fat can be seen.

	==Management==		==Management==
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	[[Category:Renal]]		[[Category:Renal]]
	[[Category:Urology]]		[[Category:Urology]]
			[[Category:ID]]

Rossdonaldson1: Text replacement - "Urinalysis" to "Urinalysis"

2018-10-21T00:22:18Z

Text replacement - "*Urinalysis" to "*Urinalysis"

← Older revision		Revision as of 00:22, 21 October 2018
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	*CBC - Although it is a non-specific finding, a leukocytosis is typically seen.		*CBC - Although it is a non-specific finding, a leukocytosis is typically seen.
	*Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.		*Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.
	*Urinalysis - Will often show evidence of pyelonephritis, however if the perinephric [[abscess]] is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.		*[[Urinalysis]] - Will often show evidence of pyelonephritis, however if the perinephric [[abscess]] is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.
	*Blood and urine cultures		*Blood and urine cultures

Ostermayer: Text replacement - "abscess " to "abscess "

2017-03-10T10:36:14Z

Text replacement - "abscess " to "abscess "

← Older revision		Revision as of 10:36, 10 March 2017
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	==Background==		==Background==
	*An abscess of the perinephric fat that abuts the renal cortex		*An [[abscess]] of the perinephric fat that abuts the renal cortex
	*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding		*Can arise as a complication either a pre-existing [[pyelonephritis]] (majority) or from hematogenous seeding

Line 20:		Line 20:
	*CBC - Although it is a non-specific finding, a leukocytosis is typically seen.		*CBC - Although it is a non-specific finding, a leukocytosis is typically seen.
	*Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.		*Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.
	*Urinalysis - Will often show evidence of pyelonephritis, however if the perinephric abscess is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.		*Urinalysis - Will often show evidence of pyelonephritis, however if the perinephric [[abscess]] is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.
	*Blood and urine cultures		*Blood and urine cultures

Alvarez13 at 00:44, 21 November 2016

2016-11-21T00:44:17Z

← Older revision		Revision as of 00:44, 21 November 2016
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	==Clinical Features==		==Clinical Features==
	*Sign/symptoms similar to [[pyelo]] ([[fever]], CVAT, dysuria)		*Sign/symptoms similar to [[pyelo]] ([[fever]], CVAT, dysuria)
	*Occurs in setting of ascending infection with obstructed pyelo		*Occurs in setting of ascending infection with obstructed [[pyelo]]

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - "* " to "*"

2016-10-27T17:59:07Z

Text replacement - "* " to "*"

← Older revision		Revision as of 17:59, 27 October 2016
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	==Evaluation==		==Evaluation==
	===Laboratory Testing===		===Laboratory Testing===
	* CBC - Although it is a non-specific finding, a leukocytosis is typically seen.		*CBC - Although it is a non-specific finding, a leukocytosis is typically seen.
	* Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.		*Chemistry Panel - Lactic acidosis is a common finding and is seen earlier in the disease course in diabetic patients. Renal insufficiency is also commonly seen as well.
	* Urinalysis - Will often show evidence of pyelonephritis, however if the perinephric abscess is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.		*Urinalysis - Will often show evidence of pyelonephritis, however if the perinephric abscess is secondary to hematogenous spread, the urine could be sterile. Therefore a negative U/A does NOT rule out a perinephric abscess.
	*Blood and urine cultures		*Blood and urine cultures

	===Imaging===		===Imaging===
	* CT		*CT
	**Imaging modality of choice		**Imaging modality of choice
	**Sensitivity ~90%.		**Sensitivity ~90%.
	* Renal ultrasound - A fluid filled mass extending from the renal cortex into the perinephric fat can be seen.		*Renal ultrasound - A fluid filled mass extending from the renal cortex into the perinephric fat can be seen.

	==Management==		==Management==

Perinephric abscess - Revision history

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: /* Background */

Rossdonaldson1: /* Background */

Rossdonaldson1: /* Background */

Rossdonaldson1 at 10:27, 2 May 2020

ClaireLewis at 17:15, 16 October 2019

Rossdonaldson1: Text replacement - "*Urinalysis" to "*Urinalysis"

Ostermayer: Text replacement - "abscess " to "abscess "

Alvarez13 at 00:44, 21 November 2016

Neil.m.young: Text replacement - "* " to "*"

Rossdonaldson1: Text replacement - "Urinalysis" to "Urinalysis"