Approach to hematuria (pediatrics) Quiz: Ace Your Exams
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A 3-year-old girl presents to the primary care office with three days of dysuria. Her parents report that she has been urinating more frequently and had one episode of incontinence. Her urine has a foul odor. Parents have been working on potty training, and the child has held urine for extended periods of time. She attends preschool three days per week and plays outside most evenings. Temperature is 37.0°C (98.6°F), pulse is 100/min, respiratory rate is 22/min and blood pressure is 90/50 mmHg. Cardiovascular and pulmonary examinations are within normal limits. Abdominal exams reveal mild discomfort in the suprapubic region. There is no costovertebral angle tenderness. Urinalysis (UA) is positive for leukocyte esterase (reference range: negative) with 10 red blood cells per high power field (reference range: 0-3/hpf). Which of the following is the best next step in management?
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