Health Care: Nephrology, Research Paper Example

Introduction

Differential Nursing Diagnosis 1-Renal Colic

Mr. T could be diagnosed as having renal colic. In this case the only odd sign is his urine which is dark. However, flank pain radiating to the back and groin along with restlessness are highly suggestive of renal colic.

Differential Nursing Diagnosis 11- UTI

The second differential diagnosis pertains to upper urinary tract infection, but there is no marked fever and the urine often is not bloody. This could not be UTI, but whatever the condition is it could be a mixed condition of UTI and some other presentation. The other reason for using UTI a second differential diagnosis is because it occurs mainly in women.

Differential Nursing Diagnosis 111- Pyelonephritis

A positive Left Costo Vertebral Angle (CVA) tenderness or Murphy’s punch sign is highly indicative of pyelonephritis. Blood is present in the urine. No frequency in urine was reported neither fevers (Musana & Yale, 2005). However, the Mr. T leans towards the affected side and denies having any pains prior to arriving at the facility.

Brief Description of Primary Diagnosis-Pyelonephritis

My primary diagnosis for this case is pyelonephritis for which a nursing care plan will be developed. Acute pyelonephritis symptoms occur rapidly over a short time span. Mr.

T did not sustain any back injury for these symptoms to arise. As such, the onset of excruciating pain can be considered sudden. The pain radiated from the left sided flank, back towards the groin. In the acute stages there is no fever neither vomiting (Ramakrishnan & Scheid, 2005). Mr. T did not manifest any of these symptoms.

With a positive CVA there is an indication of inflammation or infection around the kidney. These could be produced by the presence of a kidney abscess, stones or puss accumulation around the kidney known as pyelonephritis. Only in cases of chronic pyelonephritis the patient develops nausea and vomiting. Therefore, this treatment plan will focus on management of Mr. T for acute pyelonephritis.

Conclusion

Care Plan – Management of Acute Pyelonephritis

References

Musana, K., & Yale, S. ( 2005). Murphy’s Sign. Clin Med Res 3 (3): 132.

Ramakrishnan, K., & Scheid, C. (2005). Diagnosis and management of acute pyelonephritis in adults.  American Family Physician 71 (5): 933–42.