What this deck covers
Urinary Tract Infection and Reflux in Children in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.
Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.
The 18 cases, in order
- Getting urine from a baby
- A count below one hundred thousand
- Two sisters, only one is ill
- Six weeks old and febrile
- Burning, but no fever at all
- First infection, and it settled fast
- Timing the scan for scars
- Twice now, and mother had it too
- Reading the contrast study
- High-grade reflux with a scar
- Still febrile on day three
- Four infections and hard stools
- Bacteria, but she is perfectly well
- What to watch in a scarred kidney
- Wet by day and rarely goes
- Alkaline urine and a big stone
- Twelve days old, febrile and yellow
- What the family can actually do
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: An adhesive bag applied to the perineum, Contamination, because the count is below 100000, The fever with loin tenderness, Oral trimethoprim for three days, A single dose, An ultrasound of the urinary tract, During the acute infection, A repeat ultrasound in six months, Grade II, Low-dose antibiotic prophylaxis, A simple lower urinary tract infection, Undiagnosed vesicoureteric reflux, No treatment and no further investigation, An annual ultrasound scan.
Clinical pearls from this deck
- A negative bag sample is useful; a positive one is a question, not an answer.
- Read the colony count against the collection method, not against a single remembered number.
- Fever and loin tenderness, not the dipstick, decide whether this infection can scar a kidney.
- Under three months a urinary tract infection is sepsis until the screen says otherwise.
- Nitrofurantoin does not reach the renal parenchyma, so it is a cystitis drug only.
- Ultrasound answers the structural questions first; everything else is directed by what it shows.
Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.
More from this system: all nephrology case decks · pediatric reference values.
