NURS 203 Lecture Notes - Lecture 5: Pyelonephritis, Interstitial Nephritis, Chronic Kidney Disease
Document Summary
Lecture 5 tubular and interstitial disorders of the kidney. Pyelonephritis is seen more in women b/c of their short urethra. Acute pyelonephritis is a systemic infection and is an infection of the kidney proper. At the uretovesicular junc, the muscle squeezes so there is no reflux of urine from the bladder into the ureter. However, not all people have a normal vesicoureteral junction. So, they will ask you, what is the mech of all uti"s? (urethritis, cystitis, pelvitis, or pyelonephritis) due to ascending infection from the beginning of the urethra. Every woman (has nothing to do with cleanliness) has the same e coli serotype in her stool at the introutus of the urethra and her vagina. So, with trauma or certain serotypes of e coli, it can ascend up the urethra into the bladder. If the pt has an incompetent uretovesicular junc, up the ureters into the kidneys.
