SlideShare a Scribd company logo
COMMON URINARY TRACT CONCERNS IN CHILDREN Waldo C. Feng M.D.,Ph.D. Children’s Urology Associates Las Vegas, Nevada
Urinary Tract Infections in Children ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Child With UTI ,[object Object],[object Object],[object Object]
UTI Incidence Kunin, 1998
PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Localization of Infection ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Localization of Infection
Pathogenesis - UTI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis - Pyelonephritis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Host Defense Factors ,[object Object],[object Object],[object Object]
UTI Risk Factors ,[object Object],[object Object],[object Object]
UTI Risk Factors ,[object Object],[object Object],[object Object]
Common Pathogens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of UTI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Renal Scarring - Infection ,[object Object],[object Object],[object Object]
Renal Scarring ,[object Object],[object Object],[object Object],[object Object],Bellman, 1995
UTI Management Controversy Looms
Management - UTI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screening Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Culture Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Specimen Collection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quantitative Urine Culture   ,[object Object],[object Object],[object Object],[object Object]
Anatomic / Functional Evaluation ,[object Object],[object Object],[object Object],[object Object]
Evauation of UTI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI Imaging Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTI - Ultrasound ,[object Object],Bellman, 1995
UTI - Voiding Study ,[object Object],[object Object],Bellman, 1995
Vesico-Ureteral Reflux ,[object Object],[object Object],[object Object]
Vesico-Ureteral Reflux ,[object Object],[object Object],[object Object],[object Object]
Medical Management Of VUR ,[object Object],[object Object],[object Object],[object Object]
Voiding Dysfunction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Voiding Dysfunction ,[object Object],[object Object],[object Object],[object Object]
Voiding Dysfunction - VUR   ,[object Object],[object Object],[object Object],[object Object]
Assessment of Voiding Patterns ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bladder Retraining Program ,[object Object],[object Object],[object Object],[object Object]
Role of Constipation ,[object Object],[object Object]
Constipation ,[object Object],[object Object],[object Object],[object Object]
VUR - Sibling Screening ,[object Object],[object Object],[object Object],[object Object],[object Object]
VUR - Sibling Screening   ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object]
THE END?

More Related Content

What's hot

Urinary tract infection in children
Urinary tract infection in childrenUrinary tract infection in children
Urinary tract infection in children
Kumar Abhinav
 
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
College of Medicine, Sulaymaniyah
 
Urinary tract-infections-children
Urinary tract-infections-childrenUrinary tract-infections-children
Urinary tract-infections-children
Ram Kumar
 
Urinary Tract Infection in Children
Urinary Tract Infection in ChildrenUrinary Tract Infection in Children
Urinary Tract Infection in Children
Kadeen Stewart
 
Uti & vur
Uti & vurUti & vur
Vesicoureteral reflux period 4
Vesicoureteral reflux period 4Vesicoureteral reflux period 4
Vesicoureteral reflux period 4
romswinckel
 
Recurrent Uti, Vijayawada
Recurrent Uti, VijayawadaRecurrent Uti, Vijayawada
Recurrent Uti, Vijayawada
avula
 
Vesico ureteric reflux
Vesico ureteric refluxVesico ureteric reflux
Vesico ureteric reflux
akifab93
 
UTI in children
UTI in childrenUTI in children
UTI in children
Hardik Shah
 
Vesicoureteral reflux
Vesicoureteral refluxVesicoureteral reflux
Vesicoureteral reflux
Sumit Gupta
 
Vesicoureteral reflux period 1
Vesicoureteral reflux period 1Vesicoureteral reflux period 1
Vesicoureteral reflux period 1
romswinckel
 
VUR
VURVUR
pediatric Urinary tract infection
pediatric Urinary tract infectionpediatric Urinary tract infection
pediatric Urinary tract infection
kalimullahkhan13
 
URINARY TRACT INFECTION IN CHILDREN
URINARY TRACT INFECTION IN CHILDRENURINARY TRACT INFECTION IN CHILDREN
URINARY TRACT INFECTION IN CHILDREN
Virendra Hindustani
 
seminar on urinary tract infection
seminar on urinary tract infectionseminar on urinary tract infection
seminar on urinary tract infection
Dr. Habibur Rahim
 
Vesicoureteral reflux ruwida
Vesicoureteral reflux ruwidaVesicoureteral reflux ruwida
Vesicoureteral reflux ruwida
Ruwida Alorfy
 
Pediatric urinary tract infection
Pediatric urinary tract infectionPediatric urinary tract infection
Pediatric urinary tract infection
pediatricsmgmcri
 
Urinary tract infection dr.m - copy
Urinary tract infection dr.m - copyUrinary tract infection dr.m - copy
Urinary tract infection dr.m - copy
Mahtab Alam
 
Evidence update in uti
Evidence update in utiEvidence update in uti
Evidence update in uti
khalidmajidali
 
Management of uti (1)
Management of uti (1)Management of uti (1)
Management of uti (1)
Sheela Aglecha
 

What's hot (20)

Urinary tract infection in children
Urinary tract infection in childrenUrinary tract infection in children
Urinary tract infection in children
 
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
Pediatrics 5th year, 10th lecture/part one (Dr. Adnan)
 
Urinary tract-infections-children
Urinary tract-infections-childrenUrinary tract-infections-children
Urinary tract-infections-children
 
Urinary Tract Infection in Children
Urinary Tract Infection in ChildrenUrinary Tract Infection in Children
Urinary Tract Infection in Children
 
Uti & vur
Uti & vurUti & vur
Uti & vur
 
Vesicoureteral reflux period 4
Vesicoureteral reflux period 4Vesicoureteral reflux period 4
Vesicoureteral reflux period 4
 
Recurrent Uti, Vijayawada
Recurrent Uti, VijayawadaRecurrent Uti, Vijayawada
Recurrent Uti, Vijayawada
 
Vesico ureteric reflux
Vesico ureteric refluxVesico ureteric reflux
Vesico ureteric reflux
 
UTI in children
UTI in childrenUTI in children
UTI in children
 
Vesicoureteral reflux
Vesicoureteral refluxVesicoureteral reflux
Vesicoureteral reflux
 
Vesicoureteral reflux period 1
Vesicoureteral reflux period 1Vesicoureteral reflux period 1
Vesicoureteral reflux period 1
 
VUR
VURVUR
VUR
 
pediatric Urinary tract infection
pediatric Urinary tract infectionpediatric Urinary tract infection
pediatric Urinary tract infection
 
URINARY TRACT INFECTION IN CHILDREN
URINARY TRACT INFECTION IN CHILDRENURINARY TRACT INFECTION IN CHILDREN
URINARY TRACT INFECTION IN CHILDREN
 
seminar on urinary tract infection
seminar on urinary tract infectionseminar on urinary tract infection
seminar on urinary tract infection
 
Vesicoureteral reflux ruwida
Vesicoureteral reflux ruwidaVesicoureteral reflux ruwida
Vesicoureteral reflux ruwida
 
Pediatric urinary tract infection
Pediatric urinary tract infectionPediatric urinary tract infection
Pediatric urinary tract infection
 
Urinary tract infection dr.m - copy
Urinary tract infection dr.m - copyUrinary tract infection dr.m - copy
Urinary tract infection dr.m - copy
 
Evidence update in uti
Evidence update in utiEvidence update in uti
Evidence update in uti
 
Management of uti (1)
Management of uti (1)Management of uti (1)
Management of uti (1)
 

Similar to Common Ut Concerns In Children

Urinary Tract I nfection.pptx
Urinary Tract I nfection.pptxUrinary Tract I nfection.pptx
Urinary Tract I nfection.pptx
serajshswidek
 
UTI in children
UTI in childrenUTI in children
UTI in children
Ria Saira
 
33027_Pediatrics UTIs causes investigation and management
33027_Pediatrics UTIs causes investigation and management33027_Pediatrics UTIs causes investigation and management
33027_Pediatrics UTIs causes investigation and management
FaridAlam29
 
Uti &; vur
Uti &; vurUti &; vur
Urinary Tract Infections.pptx
Urinary Tract             Infections.pptxUrinary Tract             Infections.pptx
Urinary Tract Infections.pptx
mumbimwango
 
UTI in children
UTI in childrenUTI in children
UTI in children
gfalakha
 
Uti a surgeons perspective
Uti a surgeons perspectiveUti a surgeons perspective
Uti a surgeons perspective
PRANAYA PANIGRAHI
 
urinary tract infection in pediatrics
urinary tract infection in pediatrics urinary tract infection in pediatrics
urinary tract infection in pediatrics
Aseel Bzour
 
UTI- Urinary Tract Infection
UTI- Urinary Tract InfectionUTI- Urinary Tract Infection
UTI- Urinary Tract Infection
Soumar Dutta
 
Uti+vur
Uti+vurUti+vur
Urinary tract infection in children.pptx
Urinary tract infection in children.pptxUrinary tract infection in children.pptx
Urinary tract infection in children.pptx
Xavier875943
 
urinary tract infection
urinary tract infectionurinary tract infection
urinary tract infection
DJ CrissCross
 
Urinary tract disorder medical surgical nursing.ppt
Urinary tract disorder  medical surgical nursing.pptUrinary tract disorder  medical surgical nursing.ppt
Urinary tract disorder medical surgical nursing.ppt
ssuser47b89a
 
GU Infections
GU InfectionsGU Infections
GU Infections
Patrick Carter
 
Urinary tract infection in children
Urinary tract infection in childrenUrinary tract infection in children
Urinary tract infection in children
EashaKiani1
 
Investigation and treatment of Urinary tract infection in children
Investigation and treatment of Urinary tract infection in childrenInvestigation and treatment of Urinary tract infection in children
Investigation and treatment of Urinary tract infection in children
FaridAlam29
 
PEDI GU REVIEW lower tract i
PEDI GU REVIEW lower tract iPEDI GU REVIEW lower tract i
PEDI GU REVIEW lower tract i
George Chiang
 
Cystitis
CystitisCystitis
Cystitis
shabeel pn
 
Infantile Diarrhea
Infantile DiarrheaInfantile Diarrhea
Infantile Diarrhea
ghalan
 
Urinary tract infections on children ERVIS CARA
Urinary tract infections on children  ERVIS CARAUrinary tract infections on children  ERVIS CARA
Urinary tract infections on children ERVIS CARA
Ervis Cara
 

Similar to Common Ut Concerns In Children (20)

Urinary Tract I nfection.pptx
Urinary Tract I nfection.pptxUrinary Tract I nfection.pptx
Urinary Tract I nfection.pptx
 
UTI in children
UTI in childrenUTI in children
UTI in children
 
33027_Pediatrics UTIs causes investigation and management
33027_Pediatrics UTIs causes investigation and management33027_Pediatrics UTIs causes investigation and management
33027_Pediatrics UTIs causes investigation and management
 
Uti &; vur
Uti &; vurUti &; vur
Uti &; vur
 
Urinary Tract Infections.pptx
Urinary Tract             Infections.pptxUrinary Tract             Infections.pptx
Urinary Tract Infections.pptx
 
UTI in children
UTI in childrenUTI in children
UTI in children
 
Uti a surgeons perspective
Uti a surgeons perspectiveUti a surgeons perspective
Uti a surgeons perspective
 
urinary tract infection in pediatrics
urinary tract infection in pediatrics urinary tract infection in pediatrics
urinary tract infection in pediatrics
 
UTI- Urinary Tract Infection
UTI- Urinary Tract InfectionUTI- Urinary Tract Infection
UTI- Urinary Tract Infection
 
Uti+vur
Uti+vurUti+vur
Uti+vur
 
Urinary tract infection in children.pptx
Urinary tract infection in children.pptxUrinary tract infection in children.pptx
Urinary tract infection in children.pptx
 
urinary tract infection
urinary tract infectionurinary tract infection
urinary tract infection
 
Urinary tract disorder medical surgical nursing.ppt
Urinary tract disorder  medical surgical nursing.pptUrinary tract disorder  medical surgical nursing.ppt
Urinary tract disorder medical surgical nursing.ppt
 
GU Infections
GU InfectionsGU Infections
GU Infections
 
Urinary tract infection in children
Urinary tract infection in childrenUrinary tract infection in children
Urinary tract infection in children
 
Investigation and treatment of Urinary tract infection in children
Investigation and treatment of Urinary tract infection in childrenInvestigation and treatment of Urinary tract infection in children
Investigation and treatment of Urinary tract infection in children
 
PEDI GU REVIEW lower tract i
PEDI GU REVIEW lower tract iPEDI GU REVIEW lower tract i
PEDI GU REVIEW lower tract i
 
Cystitis
CystitisCystitis
Cystitis
 
Infantile Diarrhea
Infantile DiarrheaInfantile Diarrhea
Infantile Diarrhea
 
Urinary tract infections on children ERVIS CARA
Urinary tract infections on children  ERVIS CARAUrinary tract infections on children  ERVIS CARA
Urinary tract infections on children ERVIS CARA
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnDang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnDang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vnDang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnDang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnDang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnDang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnDang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Dang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Dang Thanh Tuan
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
Dang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
Dang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Dang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
Dang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
Dang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
Dang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
Dang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Dang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Dang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Recently uploaded

Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Donc Test
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
BrissaOrtiz3
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
Dr. Jyothirmai Paindla
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Swastik Ayurveda
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
ABDOMINAL TRAUMA in pediatrics part one.
ABDOMINAL TRAUMA in pediatrics part one.ABDOMINAL TRAUMA in pediatrics part one.
ABDOMINAL TRAUMA in pediatrics part one.
drhasanrajab
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
bkling
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
KafrELShiekh University
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
LaniyaNasrink
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
chandankumarsmartiso
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Lighthouse Retreat
 

Recently uploaded (20)

Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
ABDOMINAL TRAUMA in pediatrics part one.
ABDOMINAL TRAUMA in pediatrics part one.ABDOMINAL TRAUMA in pediatrics part one.
ABDOMINAL TRAUMA in pediatrics part one.
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
 

Common Ut Concerns In Children

Editor's Notes

  1. Probably one of the most controversial topics among urologist. Who to treat and how to treat.
  2. This is the effect of foreskin. Children are beginning to potty-train- dysfunctional voiding.
  3. Unlike adults, we have to more perceptive about symptoms. Do not present with dysuria, supra pubic pain. Hematuria on dipstick. Children present diferently at different ages.
  4. UTI is a generic term. We try to localize the infection to determine our course of investigation with imaging, and treatment. Bladder infections are low grade temperature, goes down with tynelol.
  5. High grade temperature.
  6. Other routes hematogenous, lymphatic but the most common is ascending route. Why girls are more at risk than boys,
  7. E. Coli most common organism. Over 150 strains, fewer than 10 account for the majority of the cases. It relates to the virulence factor. 91% E.coli causing pyelo have the fimbriae.
  8. Breast feeding have some protective effect. Most important easiest to perform is good voiding habits. Do not ask the child when to void, put on a schedule. Fast flowing river clear versus a stagnant pool. Doubling time every 40 minutes.
  9. So who are at risk for UTI’s. Reflux, PUV, duplicated ureters. Immunocompromise, neurogenic bladder.
  10. Look for some clues in the history and physical.
  11. Most common are gram negative enteric bacteria.
  12. The goals of treatment is two fold. Certainly early detection, imaging have dramatically reduced the long-term sequelae.
  13. Widespread use of DMSA technetium 99 dimercaptosuccinic acid with febrile uti’s up to 50% 2 to 2 years later show scarring. Next slide an example of DMSA.
  14. Any photopenic areas are scarred, non functioning nephrons. What are the chances of renal scarring?
  15. What to look on a office dipstick since few places do direct microscopic analysis.
  16. Bagged is good a ruling out a UTI, not useful in documenting one. SP is the gold standard.
  17. Suggest you have an infection.
  18. Once we have made a diagnosis of UTI-