A 4-year-old girl has a first urinary tract infection with fever and loin pain. Ultrasound scan shows left-sided hydronephrosis suggesting vesicourete...

Question

A 4-year-old girl has a first urinary tract infection with fever and loin pain. Ultrasound scan shows left-sided hydronephrosis suggesting vesicoureteric reflux. What is the most appropriate follow-up?

Accepted Answer

Arrange paediatric nephrology follow-up and further imaging as per local protocol

Answer

No follow-up is required

Answer

Prophylactic antibiotics are never indicated in children

Answer

Discharge to GP care only

Answer

Immediate nephrectomy

uk-plab-1 MCQ (SBA): Paediatric UTI with structural abnormality

A 4-year-old girl has a first urinary tract infection with fever and loin pain. Ultrasound scan shows left-sided hydronephrosis suggesting vesicoureteric reflux. What is the most appropriate follow-up?