Developed by top pediatric hospitalists, Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, 3rd Edition, is sure to become your go-to resource from initial patient evaluation all the way through discharge management. Quickly obtain the essential information for managing a wide range of pediatric medical conditions in patients who have been admitted to the hospital with this trusted, pocket-sized reference. Available for purchase at https://www.aap.org/caring-for-the-hospitalized-child-a-handbook-of-inpatient-pediatrics-3rd-edition-paperback/
Erica Chung, MD, FAAP, "Pyelonephritis", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Urinary tract infections (UTIs) may involve the lower (cystitis) or the upper tract (pyelonephritis). Distinguishing between the two, particularly in a patient younger than 2 years, can be difficult. Patients at higher risk for pyelonephritis include infants younger than 6 months, females, uncircumcised males, and children with underlying obstructive urologic abnormalities or bladder and bowel dysfunction.
An infant or young child may present with fever and nonspecific symptoms, such as poor weight gain, lethargy or irritability, vomiting, diarrhea, or poor feeding. An older child or adolescent will report fever, urinary problems (eg, dysuria, urinary frequency, incontinence, hematuria), or abdominal/back pain....
