USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

OB TRIAD

Acute   Pyelonephritis

Preterm labor and delivery can occur. Severe cases are complicated by sepsis,
anemia, and pulmonary dysfunction, sometimes requiring ICU care, including
intubation.

Clinical Findings. Symptoms include shaking chills, anorexia, nausea,
vomiting, and flank pain. Signs include high fever, tachycardia, and
costovertebral angle tenderness (R > L).

Diagnosis is confirmed with a positive urine culture showing >100 K CFU of a
single organism.

Treatment. Hospital admission, generous IV hydration, parenteral antibiotics
e.g., ceftriaxone, and tocolysis as needed.

Urgency,    frequency,  and burning

Fever   and costovertebral  angle   tenderness  (CVAT)

Urine   culture (+)