A 6-Month-Old Boy Is Brought to the Office for Follow-Up

question 494

Multiple Choice

A 6-month-old boy is brought to the office for follow-up after a urinary tract infection.  The boy was initially brought in 2 weeks ago with fever for 4 days.  A urine culture from a catheterized urine specimen at that first visit grew >100,000 colony-forming units of Escherichia coli.  The fever resolved within 48 hours with antibiotic therapy, and a full course of antibiotics was completed.  Renal ultrasound performed 2 days ago showed mild right hydronephrosis; voiding cystourethrogram revealed dilation of the right ureter with blunting of the right renal calyces.  The patient has no prior medical conditions and is up to date with vaccinations.  Temperature is 36.7 C (98 F) .  Physical examination shows a circumcised male with a normal abdominal examination.  If untreated, which of the following is the most likely long-term complication of this patient's condition?

• A)Development of renal cysts
• B)Fibrosis of renal interstitial space
• C)Inflammation of the renal glomerulus
• D)No long-term complications
• E)Obstruction from uric acid stones

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Definitions:

Vertical Analysis

A financial analysis method that lists each line item as a percentage of a base figure within the same financial statement.

Base Amount

The initial sum of money used as a reference point or starting figure for calculations, adjustments, or comparisons.

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The amount of revenue generated from goods or services sold after deducting returns, allowances for damaged or missing goods, and discounts.

Days In Inventory

A financial ratio that indicates the average number of days a company holds inventory before selling it.