B. UTI in Children The symptoms of urinary tract infections in older children are similar to those seen in adults. Cystitis is manifest by suprapubic discomfort, burning, urgency, and polyuria. An upper UTI such as pyelonephritis is manifest by chills, fever, and flank (the sides of the body, between the ribs and the ilium) pain. Any child previously toilet-trained who suddenly develops enuresis or day-time wetting should be evaluated. However, many UTIs in children are asymptomatic, and the younger the child, the more obscure the signs and symptoms. An infant with a UTI may present only with fever, lethargy, irritability, and/or failure to thrive.
1. A symptom of cystitis is: .......................
A. Inability to urinate
B. Frequent urination
C. Chest pain
D. Jaundice and itching
2. An example of an upper UTI is:...........
A. Nephrosclerosis
B. Flank pain
C. Lithotripsy
D. Anuria
E. Inflammation of the renal pelvis
3. Enuresis is: ..........................................
A. Bedwetting
B. Nocturia
C. Anuria
D. Strong sensation of having to urinate throughout the day
4. What type of symptoms do young children with UTIs frequently manifest? .............................................
A. Blood in the urine
B. Protein in the urine
C. Often no symptoms
D. Elevated BUN
Answer 1: (B) Frequent urination
Rationale: The symptoms of the cystitis includes:
Answer 2: (E.) Inflammation of the renal pelvis.
Rationale: The upper urinary tract infection is more severe as compares to lower urinary tract infections. The major symptom of the upper urinary is the inflammation of the renal pelvis.
Answer 3: (A)Bedwetting
Rationale: The Enuresis can be defined as the bedwetting. This could be due to various reasonsreasons such as diabetes, urinary tract impairment etc.
Answer 4: (A) Blood in the urine
Rationale: Children may have slight pink colour urination and foul smell if they have urinary tract infections.
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