PREFERRED PRACTICE PATTERN1
As of July, 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.
Plain films of the abdomen with abnormal radiolucencies. (A) Emphysematous pyelonephritis. Interstitial striated pattern of radiolucent gas throughout the entire left kidney. Similar changes were present in the right kidney. 58-year-old diabetic man with pyuria and septic shock. (B) Gas pyelogram. No interstitial gas, but gas fills dilated left kidney calices, pelvis, and ureter. 50-year-old diabetic woman with sepsis and left upper urinary tract infection caused by gas-forming microorganisms. (From Tanagho EA, McAninch JW. Smith’s General Urology. 17th ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Approach to the patient with urine culture, urine dipstick, or urine microscopy suggestive of urinary tract infection (UTI). (From McKean S, Ross JJ, Dressler DD, Brotman DJ, Ginsberg JS. Principles and Practice of Hospital Medicine. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Patient is a 38-year-old female that presents with low back and groin pain. She states it has been bothering her for 2 days. The patient has a fever of 100.4°F. The patient also states she has had a urinary tract infection (UTI) that has not gone away. The low back and groin pain are not reproducible. She has negative slump and SLR test. She does have lumbar spasms. The patient was referred to her family physician. The patient was sent to the hospital 2 days later with increased fever and decreased kidney functioning.
Bacteria build up in the kidneys
Usually begins in the bladder and works up to the kidneys
Kidney and renal pelvis infection
Severe pain, with or without attempts at urination, in adult males and females; no pain at all, especially in the elderly and children
Pain in the low back with possible tenderness to palpation of the kidneys.