Urinary tract infection (pediatrics) Quiz: Ace Your Exams
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A 4-year-old boy was brought to the emergency department by his parent for evaluation of fever and vomiting for the past 2 days. The patient has had associated foul-smelling urine and dysuria. He is otherwise healthy and does not take daily medication. Temperature is 39°C (102°F), pulse is 130/min, respiratory rate is 28/min, blood pressure is 95/60 mmHg, and oxygen saturation is 99% on room air. The patient has dry mucous membranes and reproducible left-sided costovertebral tenderness to palpation on physical examination. Genitourinary examination shows uncircumcised male genitalia and a normal testicular examination. A urinalysis is positive for nitrites and leukocyte esterase. Which of the following conditions is this patient most at risk of developing if he is not treated promptly?
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