Paediatric Renal Flashcards
1
Q
What is the most common causative organism of a UTI?
A
E Coli
2
Q
What are the main signs of a UTI?
A
1) Fever
2) Dysuria
3) Vomiting
4) Miserable
3
Q
What investigations might you do on a child who you suspect has a UTI?
A
1) urine dip
2) MCS on clean catch urine (w/ in out catheter)
3) USS KUB
4) DMSA - renal scarring
5) MCUG - reflux
4
Q
What is the main treatment for UTI in children?
A
IV Cefuroxime (PO trimethoprim if stable)
5
Q
How would you treat a UTI that has been caused by ESBL e.coli?
A
You would give meropenem.
ESBL bacteria are resistant to all penicillins and cephalosporins.
6
Q
What is a bilateral pleural effusion suggestive of?
A
Fluid overload e.g. HF or nephrotic syndrome.
