A 4-year-old girl presents with fever, vomiting and abdominal pain. She is irritable and refuses to pass urine. Dipstick shows leukocytes and nitrites...

Question

A 4-year-old girl presents with fever, vomiting and abdominal pain. She is irritable and refuses to pass urine. Dipstick shows leukocytes and nitrites. What is the most appropriate investigation or management step?

Accepted Answer

Send urine for culture and start antibiotics promptly

Answer

No further investigation; treat symptomatically

Answer

Delay antibiotics until culture confirms infection

Answer

Reassure and review in 1 week without antibiotics

Answer

Start long-term prophylactic antibiotics without treatment course

uk-plab-1 MCQ (SBA): Paediatric urinary tract infection

A 4-year-old girl presents with fever, vomiting and abdominal pain. She is irritable and refuses to pass urine. Dipstick shows leukocytes and nitrites. What is the most appropriate investigation or management step?