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Febrile UTI child — USMLE Step 3 MCQ

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ModeratePediatrics (Well-child / Chronic Management)Febrile UTI childUSMLE Step 3

A 9-month-old girl has fever and vomiting. Catheterized urine culture grows E coli and she improves with antibiotics. This is her first febrile urinary tract infection. Examination is normal. Which of the following would you recommend at the follow-up visit?

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Correct answer: C — Order renal and bladder ultrasound

After a first febrile UTI in young children, renal and bladder ultrasound assesses anatomy.

Reference: AAP clinical practice guidelines, https://publications.aap.org/pediatrics/collection/523/Clinical-Practice-Guidelines