An 8-month-old boy is referred for evaluation following a urinary tract infection | Crack AIIMS, AIPG NOV 2016 MCQs

An 8-month-old boy is referred for evaluation following a urinary tract infection. Ultrasound examination of the abdomen is normal. The most appropriate investigation to evaluate his lower urinary tract is 

A. Radionuclide cystogram 
B. Micturating cystourethrogram 
C. Intravenous pyelogram 
D. Cystoscopy

Answer.B (Micturating cystourethrogram)

Diagnostic imaging studies following UTI 

• Recommended radiological evaluation includes a combination of ultrasound abdomen, micturating urethrogram (MCU) and radionuclide renal scan.

•  Detailed radiological investigations are performed on all children:

1. Below 3-year-old with first UTI                                   

2. Those with symptoms of pyelonephritis

3. Recurrent UTI                                                                 

4. Abnormal voiding

5. Family history of UTI or hypertension.