Differential diagnosis _'s symptom of the suppurative infection of cortex of kidney

Differential diagnosis _'s symptom of the suppurative infection of cortex of kidney
1,Abscess around the inflammation and kidney around the kidney Mainly shown as and feared cold, generate heat, the pain in the back. But patient have lumbar vertebrae to suffer from side, bend, limb activity limited. And KUB flat sheet reveals the density of kidney district increases, the shade of greater psoas muscle disappears. Ultrasonography B and CT can distinguish it is the suppurative infection around the cortex of kidney or kidney.
2,Acute pyelonephritis Show as sudden the intersection of fear and cold, hyperpyrexia mainly, stimulate symptom with polyuria, the intersection of urine and the intersection of anxious, dysuria,etc. and bladder often. Also will knock and hit aching pain in the back and kidney district. But urine way stimulate symptom to be serious, and the intersection of kidney and district knock, ache lighter. B Do not have the liquid dark district, the radiography of intravenous urinary system (IVU) to check the kidney to exceed There is not kidney one that is pressed the deformation shifting change. CT also has no lump.
3,Tuberculosis of kidney Its mainly bladders such as showing as polyuria, urine are urgent, dysuria,etc. stimulate symptom, poisoned symptom and pyuria at various degrees with whole body tuberculosis such as low-heat, night sweating, weak, anaemia. But patient, tuberculosis of kidney, have more hyperpyrexia, and polyuria comparatively serious, 24 h can find, resist sour bacillus in the urine, tuberculosis IVU of early kidney is shown as an edged of kidney is not neat, such as the worm-eaten form; Present and lack sign of one of 1 or several kidney on later stage. Tuberculosis suppuration urine present thin rice gruel kind muddy, companion's low-heat at the kidney; B Exceeding can be seen and accumulate the liquid in the kidney.
4,Kidney cyst Simple kidney cyst is mainly shown as pain in the back, can be with hypertension and symptom. Not usually generating heat, Ultrasonography B is checked, revealed the kidney essence has round liquid dark districts, its edge knows; Kidney cyst punctures the liquid and presents yellow transparent liquid of grasses.
5,Kidney tumour Display have pain in the back and the intersection of waist and the intersection of belly and lump mainly, CT check with Ultrasonography B checking, revealing kidney have, take the intersection of location and the intersection of and pathological change in the essence. Kidney tumour can present the painless hematuria of intermission; IVU reveals kidney one of renal pelvis is out of shape and destroying or disappearing; CT note radiography pharmaceutical scans and shows kidney tumour to strengthen.
6,Acute cholecystitis Mainly shown as pain of continuation of right upper abdomen, it is cold and generating heat that can accompany and fear, and have tense abdominal muscles, Morfil solicits the masculine gender. But the urine is regular and normal, have no leucocyte. B Exceed and check and can be seen the gallbladder wall crudely, the gallbladder increases.
7,Pleurisy Show as, coerce the intersection of waist and pain mainly, pain aggravate when not deeplying breathe and coughing often, often cold and generating heat with fearing. The physical examination can find that suffer from the side to breathe sports to weaken, the respiration is lowered; But obvious kidney district does not knock and hit aching.
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