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Terms in this set (16)
Vesicoureteral reflux (VUR)
Congenital acquired abnormality where urine flows retrograde from the bladder into the ureter(s) and in certain instances the kidney.
Familial (66% of VUR in children had parents who had VUR)
VUR has a _____ component.
Pyelonephritis (bacteria from the bladder can more easily ascend to upper urinary tract)
VUR is associated with a greater risk of ____.
Children may not feel sick. Most often diagnosed among children with current UTI and fever. UTI symptoms can vary by age. 80% female. Average age is 2-3 years old. What is this?
Which gender is VUR more common in?
What age are these UTI symptoms for: Jaundice, sepsis, fever, vomiting.
3 months- 3 years
What age are these UTI symptoms for: Diarrhea, vomiting, fever, abdominal pain, dysuria, urgency?
school aged children
What age are these UTI symptoms for: Frequency of incontinence, diarrhea, vomiting, fever, abdominal pain, dysuria, urgency.
VUR can occasionally present with HTN due to _________ _________.
VCUG (voiding cystourethrogram, grades severity of VUR, beware of radiation exposure. Can also get a serum creatinine for renal scarring, UA for infection, and fetal ultrasound which may indicate VUR)
What is the gold standard diagnostic test for VUR?
Consider surgery (default, ureteral preimplantation) for VUR for what grades?
Should you get a VCUG for first UTI?
antibiotics, bladder and bowel training
What is the outpatient treatment for VUR?
For VUR you need to admit kids who are severely dehydrated with febrile UTI and signs of pyelonephritis and sepsis. What is the inpatient treatment for VUR?
Most will recover spontaneously (20-30% will have further infections)
What is the prognosis of VUR?
What percent of trafficked women saw a healthcare professional while still in captivity?
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