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An examination may show tenderness on palpation (pressing) over the kidney.
- A urinalysis commonly reveals white blood cells (WBCs) or red blood cells (RBCs).
- A urine culture (clean catch) or urine culture (catheterized specimen) may reveal bacteria in the urine.
- A blood culture may show an infection.
- An intravenous pyelogram (IVP) or CT scan of the abdomen may show enlarged kidneys with poor flow of dye through the kidneys. (IVP and CT scan of the abdomen can also indicate underlying disorders.)
Underlying abnormalities of the kidney predisposing a patient to acute pyelonephritis may be discovered by additional other tests and procedures, including the following:
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