Nephrostomy tube was placed in (b)(6)2017, pt went home and noted to have no urinary output at that time.Pt waited and then came to hospital on (b)(6) 2017.Pt was seen in er.Labs, ua, blood cx, urine cultures and ct of abd / pelvis was completed.Pt has bilateral nephrostomy tubes the rt side noted to have hydronephrosis on ct scan, their recommendation was to flush or reposition tube.Once removal of nephrostomy tube was completed, a part of the cap was noted to be retained in the hub of the nephrostomy tube, which had broken off the cap.The radiology specialist was able to push a guide wire through once the old nephrostomy tube was removed and noted the clear small plastic piece that was broken off in the hub of the tube.Following tube removal, pt had immediate urine output of the right side.Pt was admitted to the hospital with fever.Uti and malfunctioning nephrostomy tube.She then developed septic shock and ended up in icu on a levophed iv drip.
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