Paediatric Renal

Question 1

What is the most common causative organism of a UTI?

Answer 1

E Coli

Question 2

What are the main signs of a UTI?

Answer 2

1) Fever
2) Dysuria
3) Vomiting
4) Miserable

Question 3

What investigations might you do on a child who you suspect has a UTI?

Answer 3

1) urine dip
2) MCS on clean catch urine (w/ in out catheter)
3) USS KUB
4) DMSA - renal scarring
5) MCUG - reflux

Question 4

What is the main treatment for UTI in children?

Answer 4

IV Cefuroxime (PO trimethoprim if stable)

Question 5

How would you treat a UTI that has been caused by ESBL e.coli?

Answer 5

You would give meropenem.
ESBL bacteria are resistant to all penicillins and cephalosporins.

Question 6

What is a bilateral pleural effusion suggestive of?

Answer 6

Fluid overload e.g. HF or nephrotic syndrome.