UTI

Question 1

<1yr old focussed hx

Answer 1

vague symptoms - fever, vomiting, lethargy, irritable, reduced feeding, abdominal pain, haematuria, offensive

Question 2

> 1yr old focussed hx

Answer 2

frequency, dysuria, continence changes, abdo pain, loin tenderness, fever, vomiting, haematuria, offensive

Question 3

brief counselling

Answer 3

most common bacterial infection in children

could happen again (3/4 if <1)

Question 4

Ix

Answer 4

clean catch MSU AND

if <3 mths = MC&S
if >3 mths = urinalysis

(find out if urinalysis is for >3y or 3m?)

Question 5

mx

Answer 5

<3m = IV abx

> 3mths = 7-10 days PO abx if upper (co-amoxiclav) // 3 days if PO if lower (trimethoprim)

Question 6

imaging in typical

Answer 6

<6 months = USS within 6 weeks

Question 7

imaging in atypical (no response to abx in 48hrs, non E coli, septic)

Answer 7

<6 months = immediate USS & DMSA + MCUG

6m-3y = immediate USS & DMSA

> 3y = immediate USS

Question 8

imaging in recurrent (>2 upper, >3 lower)

Answer 8

<6 months = immediate USS & DMSA + MCUG

6m-3y = USS within 6 weeks & DMSA

> 3y = USS within 6 weeks & DMSA