Renal Diseases

Question 1

What are the features of a Wilm’s tumour?

Answer 1

Abdominal mass
Flank pain
Haematuria

Question 2

Which children with suspected UTI should be referred to hospital for specialist assessment?

Answer 2

Children with UTI under the age of 3 months

Question 3

Which children with UTI need an ultrasound scan?

Answer 3

Less than 6 months old with first UTI
Any child with recurrent UTI
Any child with atypical features e.g. not ecoli

Question 4

Which test can be used to assess renal scarring?

Answer 4

DMSA

Question 5

What are the management options for enuresis?

Answer 5

Behaviour modification
Enuresis alarm
Desmopressin

Question 6

What is the management of hypospadias?

Answer 6

Corrective surgery before the age of 2
Advise against circumcision

Question 7

What are the differences between irritant dermatitis and candida dermatitis presenting with nappy rash?

Answer 7

Irritant is most common and creases are spared
Candida - creases are not spared and satelite lesions

Question 8

What are the risks of undescended testes?

Answer 8

Infertility, testicular cancer and testicular torsion

Question 9

At what age do the majority of children achieve day and night time continence

Answer 9

Aged 3-4 (no pee on the floor)