Urinary Tract Infections - urinary frequency

Urinary Tract Infections

Dr Patsy Lill
Professor Emerita
University of South Carolina School of Medicine

Urinary frequency

A 3-year-old girl presents with complaints of dull abdominal pain and urinary frequency, urgency, and dysuria. Urinalysis shows white cells and hematuria but no white cell casts. Below is an image of a urinary bladder taken from an adult at autopsy that shows a purulent exudate on the surface of the bladder.

What abnormality is MOST apt to be present in the child?
1. Horseshoe kidney
2. Vesicoureteral refllux
3. Double ureter
4. Ureter leaving the kidney at an acute angle

ANSWER

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Pathology questions by Dr Patsy Lill