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urinary_urinary tract infection (history (fever, irritability, poor…
urinary_urinary tract infection
history
fever
irritability, poor feeding, failure to thrive (infant)
dysuria, frequency, loin pain (children)
causses
pyelonephritis
hypertension
chronic renal disease
investigations
urine
mid-stream urine
clean-catch
adhesive plastic bag
urethral catheter
suprapubic aspiration
atypical UTI
x E. coli
x respond to antibiotics in 48 hours
raised creatinine
abdominal/bladder mass
septicemia, poor urine flow, very ill
atypical UTI, recurrent UTI
USG
(scan) DMSA
(painful: ventriculouretic reflux) MCUG
physical examination
3 months old lower urinary tract
oral antibiotics 3 days augmentin?
smaller than 3 months old
hospital: IV antibiotics
3 months old upper urinary tract
oral antibiotics 7-10 days augmentin?