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CONDITION/DISORDER SYNONYM
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PREFERRED PRACTICE PATTERN1
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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.
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PATIENT PRESENTATION
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.
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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.