In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss a case in which a patient presents with symptoms of simple pyelonephritis, but point-of-care ultrasound (POCUS) reveals something more urgent: an obstructing stone.
Emphysematous pyelonephritis is a life-threatening infection especially seen in patients with poorly-controlled diabetes mellitus. Imaging modalities (preferably computed tomography) are required to establish the diagnosis. Treatment modalities include volume resuscitation, broad-spectrum antibiotics, percutaneous drainage, and, as a last resort, nephrectomy. We present a case of a 46-year-old female who had…
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