Comparison of Sonographic Findings and Routine Urine Examination in patient with Acute Pyelonephritis

Abstract

Background: Pyelonephritis is a renal inflammatory condition diagnosed with patient’s history, physical examination and imaging studies. Although laboratory finding, clinical sign and symptoms are considered for the diagnosis and treatment. Aim: To compare the sonographic findings of pyelonephritis with urine complete examination Methodology: A Cross sectional analytical study was conduct at Gilani Ultrasound Center, Ferozepur Road, Lahore and routine urine examination was performed in the Sanabil Health Services Hospital, Khayaban-e-Quaid, Lahore. Entirely comprised patients were queried concerning variables such as gender, age, clinical history, grey scale ultrasound findings, Doppler ultrasound findings and lab findings. Patients were enquired to lie down as well as depiction Abdomen. Results: Out of 138 patients, 77 were males and 61 were females, maximum age of patients was 77 years and minimum was 18 years, 75 (54.3%) patients with clinical history of pyelonephritis, 67 patients were with lab findings that support pyelonephritis and 71 patients had no lab findings. Out of 138 patients, 67(48.6%) patients had right kidney acute pyelonephritis and 65(47.1%) had left kidney acute pyelonephritis. Conclusion: The study concluded that there was an important association among the Urine complete examination as well as sonographic findings in the evaluation of acute pyelonephritis. However, the clinical and ultrasound findings in acute Pyelonephritis do not play a significant role but these findings can be helpful in chronic cases of Pyelonephritis. Key words: Acute pyelonephritis, Ultrasonography, Urine complete analysis, Routine urine examination