Symptom Pasternatsky - cause for concern

Pyelonephritis is an infectious inflammatory disease in which the renal pelvis, parenchyma of the kidney and calyx are affected.

Pyelonephritis is provoked by any microorganisms, in particular, E. coli, enterococci and staphylococci. The causative agent enters the kidney from the focus of a chronic infection in the body or on the ureter, when the outflow of urine is disturbed.

Pyelonephritis: signs

Acute pyelonephritis is manifested by common symptoms, such as weakness, pain throughout the body, chills with high fever (up to 40 ° C), nausea, decreased appetite. Along with this, there are local symptoms - pain in the lumbar region, dysuria. Urine becomes turbid, it can appear flakes. Palpation in the kidney becomes painful, the muscles of the anterior wall of the peritoneum tighten, a positive symptom of Pasternatsky (effleurage) arises and the blood counts deteriorate.

The soreness that occurs when the lumbar region is effaced is one of the most common signs of kidney disease. It is determined by applying gentle impacts on the lumbar region alternately from both sides in the costal-muscle angle. Usually Pasternatsky's symptom is determined when the patient is standing or sitting. The pain indicates that the symptom is positive, which is explained by the concussion of parainfury and the affected kidney. However, a positive symptom Pasternatskogo may appear in diseases of neighboring organs.

With ultrasound examination, it is possible to detect an increase in the size of the kidney, compaction and thickening of its parenchyma, while the pelvis and calyx dilate.

Complications of acute pyelonephritis

The acute course of the disease is often accompanied by a bacterial shock caused by the massive exposure of toxins to the body, necrosis of the renal papillae, parainfrit, and urosepsis.

The patient should be urgently hospitalized in the urological or surgical department and appoint a bed rest. The treatment is aimed at restoring the violation of urinary outflow and the removal of inflammation.

With the timely diagnosis and treatment of acute pyelonephritis, recovery occurs.

Chronic pyelonephritis

Pathology passes into a chronic form after an acute course. The disease is detected in the study of urine accidentally or with a detailed examination because of suspicion of urolithiasis. When interviewed, patients identified in the past cystitis and other acute diseases of the urinary tract. Periodic exacerbations are manifested by subfebrile body temperature, weakness, fast fatigue, sweating at night, lack of appetite, nausea, vomiting, anemia, earthy complexion, dry skin, arterial hypertension, pain in the lumbar region, impaired urination and urination. Indicative changes in urine: leukocyturia, pyuria, bacteriuria, proteinuria, hematuria, cylinduria.

In the treatment of chronic pyelonephritis, foci of chronic infection are eliminated, and a complete urinary outflow from the kidney is restored. A prolonged antibacterial treatment is carried out, diuretics and immunostimulating agents are prescribed. Timely diagnosis and long-term therapy often lead to complete recovery.

Children's pyelonephritis

In children, pyelonephritis is considered the most common disease after respiratory diseases.

Pyelonephritis in a child can be unilateral and bilateral, secondary and primary, acute and chronic.

Acute pyelonephritis in the child is serous and purulent, which occurs in the form of carbuncle, apostematous pyelonephritis or abscess. Its outcome can be a recovery or a chronic form. Pathology is often complicated by pionephrosis or wrinkling of the kidney.

With pyelonephritis, a sick child complains of pain in the kidney, which manifests itself on the side of the lesion. The pain is usually dull, sometimes there are sharp attacks, which indicates the development of calculous pyelonephritis. The child has a positive symptom of Pasternatsky and general intoxication. For the diagnosis of pyelonephritis, blood and urine are examined, ultrasound of the kidneys is performed and X-rays are taken. They treat pyelonephritis in children with antibiotics, carrying out detoxification and infusion therapy. Physiotherapeutic procedures are shown.