Routine imaging for pyelonephritis at presentation is not generally helpful. But CT imaging for those who do not respond to antibiotics is indicated to evaluate for complicating factors like renal abscess or nephrolithiasis that cannot be treated with antibiotics alone.
derpymdIs this not diverticulitis? Urinalysis is normal. Looks like they're treating empirically for diverticulitis, but failed to respond, so CT to check for abscess. +1
wutuwantbruvMight be a different questions @derpmd, I don't believe there were UA results.+1
submitted by โbwdc(697)
Routine imaging for pyelonephritis at presentation is not generally helpful. But CT imaging for those who do not respond to antibiotics is indicated to evaluate for complicating factors like renal abscess or nephrolithiasis that cannot be treated with antibiotics alone.