Which differentiating sign is required to make the diagnosis of pyelonephritis from that of cystitis?
A) Difficulty starting the stream of urine
B) Spasmodic pain that radiates to the groin
C) Increased glomerular filtration rate
D) Urinalysis confirmation of white blood cell casts

Question

Quizplus · Accepted Answer

Clinical assessment,alone,is difficult to differentiate the symptoms of cystitis from those of pyelonephritis.Urine culture,urinalysis,and clinical signs and symptoms establish the specific diagnosis.White blood cell casts indicate pyelonephritis,but they are not always present in the urine.This selection is the only option that is considered a required sign of pyelonephritis.

Which Differentiating Sign Is Required to Make the Diagnosis of Pyelonephritis