acute pyelonephritis

Question Number 1449

the following are true of acute pyelonephritis

a) is secondary to hematogenous spread in less than a third
b) when secondary to ascending infection is usually secondary to fimbriated bacteria
c) the urogram in usually normal
d) on ultrasound the demarcation of the corticomedullary junction is increased
e) renal cortical scintigraphy with Tc-99m DMSA typically shows increased uptake in regions of infection

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