AUA: Vesicoureteral Reflux (2017): Difference between revisions
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****'''Children with VUR but without bilateral renal abnormalities''' to establish an estimate of glomerular filtration rate (GFR) for future reference. | ****'''Children with VUR but without bilateral renal abnormalities''' to establish an estimate of glomerular filtration rate (GFR) for future reference. | ||
* '''<span style="color:#ff0000">Urinalysis''' | * '''<span style="color:#ff0000">Urinalysis''' | ||
**Evaluate for proteinuria and bacteriuria''' | **'''Evaluate for proteinuria and bacteriuria''' | ||
***If the urinalysis indicates infection, a urine culture and sensitivity is recommended | |||
=== Imaging === | === Imaging === | ||
* '''<span style="color:#ff0000">Recommended (1)''': | * '''<span style="color:#ff0000">Recommended (1)''': | ||
* | *#'''<span style="color:#ff0000">Renal ultrasound''' | ||
* | *#*VUR and UTI may affect renal structure and function | ||
* '''<span style="color:#ff0000">Optional (1)''' | * '''<span style="color:#ff0000">Optional (1)''' | ||
* | *#'''<span style="color:#ff0000">DMSA</span>''' (technetium-99m-labeled dimercaptosuccinic acid) | ||
* | *#*'''To assess the status of the kidneys for scarring and function''' | ||
* | *#** '''Children with higher grades of VUR (i.e. grades III to V) are at greater risk of having renal cortical abnormalities.''' | ||
* | *#** DMSA scanning can be useful to identify pre-existing abnormalities. | ||
== Initial Management of the Child with VUR == | == Initial Management of the Child with VUR == | ||