Pyelonephritis is characterized by fever/rigors, flank pain, and dysuria or polyuria. The patient will experience nausea and vomiting. On physical examination, the patient may appear toxic and usually has costovertebral angle tenderness. Given the patient's symptoms and physical exam, the most likely diagnosis is pyelonephritis.
Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2003 ed., Pyelonephritis. Joseph J. Lieber M.D. Copyright © 2003 Mosby, Inc. p. 687
Case Study: Abdominal Pain: Child
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