Acute Urinary Tract Disorders

Acute Pyelonephritis with Perinephric Stranding on CT

“…2 However, imaging is not required for diagnosis and is typically reserved for patients who are immunocompromised, have severe symptoms, or show no clinical improvement 72 hours after initiating antibiotic therapy. 2,3,4 The diagnosis acute pyelonephritis is mostly done using clinical judgment. A patient's history, physical exam, and confirmatory labs including urinalysis is usually sufficient for the diagnosis.…”