Poster Session
Location
Memorial Ballroom, Hall Campus Center
Access Type
Campus Access Only
Entry Number
55
Start Date
4-10-2019 12:00 PM
End Date
4-10-2019 1:15 PM
College
College of Health Sciences
Department
Physician Assistant
Abstract
Emphysematous pyelonephritis is one of the most dangerous complications in patients with uncontrolled diabetes. In this necrotizing disease process, microbes such as Escherichia coli or Klebsiella pneumoniae produce gas that accumulates within the renal capsule causing compression of the internal anatomy. In a diabetic patient, emphysematous pyelonephritis can be exacerbated secondary to the diabetic complication of diminished proprioception. Without surgical intervention, emphysematous pyelonephritis can progress into systemic infection and sepsis, much like this case study. Abdominal pain, fever, nausea, vomiting are all the hallmark exam findings that a healthcare provider may observe in a patient that presents with this disease state. For an accurate diagnosis, computed tomography is the gold standard for emphysematous pyelonephritis. In this case, the patient would present with a several day history of left lower quadrant abdominal pain with nausea and vomiting. Due to access to care for financial reasons, the patient, in this case, was unaware of her diabetes diagnosis and was unable to be treated prior to her presentation. The patient subsequently undergoes a radical nephrectomy and would recover from sepsis in the surgical trauma intensive care unit postoperatively.
Faculty Mentor(s)
Dr. Jenna Rolfs Dr. Joyce Nicholas Dr. Matthew Robertson
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Emphysematous Pyelonephritis
Memorial Ballroom, Hall Campus Center
Emphysematous pyelonephritis is one of the most dangerous complications in patients with uncontrolled diabetes. In this necrotizing disease process, microbes such as Escherichia coli or Klebsiella pneumoniae produce gas that accumulates within the renal capsule causing compression of the internal anatomy. In a diabetic patient, emphysematous pyelonephritis can be exacerbated secondary to the diabetic complication of diminished proprioception. Without surgical intervention, emphysematous pyelonephritis can progress into systemic infection and sepsis, much like this case study. Abdominal pain, fever, nausea, vomiting are all the hallmark exam findings that a healthcare provider may observe in a patient that presents with this disease state. For an accurate diagnosis, computed tomography is the gold standard for emphysematous pyelonephritis. In this case, the patient would present with a several day history of left lower quadrant abdominal pain with nausea and vomiting. Due to access to care for financial reasons, the patient, in this case, was unaware of her diabetes diagnosis and was unable to be treated prior to her presentation. The patient subsequently undergoes a radical nephrectomy and would recover from sepsis in the surgical trauma intensive care unit postoperatively.