Pyelonephritis,”Upper GU tract infectionPresent: Flank pain, fever, costovertebral tendernessDx: Leuokocyte o/p-Bactrim or fluoro for 10-14 days-G positive cocci? Amox*Give single dose of ceftraixone or gentamicin before starting PO therapyi/p-IV fluids first-Antibiotic: Amp + gentamycin/cipro. If culture is negative, IV until afebrile then PO for 2-3 weeks. If culture positive

Pyelonephritis,”Upper GU tract infectionPresent: Flank pain, fever, costovertebral tendernessDx: Leuokocyte o/p-Bactrim or fluoro for 10-14 days-G positive cocci? Amox*Give single dose of ceftraixone or gentamicin before starting PO therapyi/p-IV fluids first-Antibiotic: Amp + gentamycin/cipro. If culture is negative, IV until afebrile then PO for 2-3 weeks. If culture positive

IV for 2-3 weeks*Common to see hematuria or proteinuria with cystitis or pyelonephritis”