paeds895

An 8 year old male child presents with frequent and recurrent headaches and a history of dark-coloured urine. He has a blood pressure of 150/100 mmHg and normal serum urea and creatinine levels. Urine microscopy reveals erythrocytes and erythrocyte casts. His 24-hour urine protein is about 2 g. What is the most probable diagnosis?

paeds896

A young boy presents with signs of kidney disease. He has a long-standing history of proteinuria and hypocomplementemia which were not responsive to steroid treatment. What is the most probable diagnosis?

paeds897

A patient undergoes investigation for chronic upper urinary tract obstruction with intravenous urography (IVU).The patient should be informed about which severe complication of IVU?

paeds898

A young female presents with vaginal discharge and itching. She is diagnosed with prepubertal atrophic vaginitis. What is the pathophysiology behind prepubertal atrophic vaginitis?

paeds899

A 10-year-old boy was discharged from hospital after an episode of acute testicular pain.Considering he had an anatomical anomaly involving the processus vaginalis, what is the most probable diagnosis for this child?

paeds900

A 15-year-old girl was brought to the hospital by her mother with complaints of an acute onset of oliguria and gross haematuria. On examination, she was found to have pedal oedema and a blood pressure of 164/112 mmHg. Given the likely diagnosis, what would be the most characteristic finding on urine microscopy?

paeds901

A 15-month-old boy is brought to the clinic by his mother with complaints of recurrent urinary tract infections. As part of the diagnostic work-up, he was noted to have abnormal renal function. An ultrasound scan is performed and shows bilateral hydronephrosis.What is the most probable underlying condition giving rise to the child’s symptoms and bilateral hydronephrosis?

paeds902

A 10-month-old girl was diagnosed with a urinary tract infection.Which of the following is NOT a requirement to perform imaging studies in this child?

paeds903

A 10-year-old boy was brought to the clinic by his parents. They are worried because they are unable to see his testes. They state they were present at birth. On examination, both testes are clearly in the groin. On manipulation, they can be brought into the scrotum. Which of the following is the most probable diagnosis and most appropriate course of action for this child?

paeds904

A 12-year-old girl presents with constant dripping of urine despite being able to void a full volume bladder. An ultrasound scan shows bilaterally enlarged kidneys. What is the most probable diagnosis for this patient?