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Effective history taking, combined with refined physical examination skills, are the two most powerful tools to differentiate upper and lower urinary tract infections as well as assisting the practitioner to exclude other differential diagnoses. Utilisation of these skills by the practitioner, together with the recognised presenting symptom triad of flank pain, fever and nausea in this case study, enabled the diagnosis of acute pyelonephritis to be given.<\/jats:p>","DOI":"10.12968\/bjon.2020.29.3.144","type":"journal-article","created":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T12:05:00Z","timestamp":1581595500000},"page":"144-150","source":"Crossref","is-referenced-by-count":12,"title":["The diagnosis and management of a patient with acute pyelonephritis"],"prefix":"10.12968","volume":"29","author":[{"given":"Carly","family":"Hudson","sequence":"first","affiliation":[{"name":"Trainee Advanced Clinical Practitioner, University of Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerri","family":"Mortimore","sequence":"additional","affiliation":[{"name":"Lecturer in Advanced Practice, University of Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"issue":"1","key":"B2","first-page":"25","volume":"5","author":"Ambite I","year":"2016","journal-title":"J Pediatr Genet."},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq073"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.7748\/ns.27.5.51.s54"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl373"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.UTI-0014-2012"},{"key":"B7","unstructured":"Cole SA, Bird J. 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