Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of CAKUT, identified via [prenatal US / postnatal screening / recurrent UTI / failure to thrive]. Current symptoms include [dysuria / frequency / flank pain / hematuria / poor urinary stream]. Significant history includes [family history of renal disease / polyhydramnios / genetic syndromes]. Current renal function status: [stable / declining].
Clinical Examination Findings
General: Patient is [well-appearing / ill-appearing], [non-toxic / toxic]. Abdomen: [Soft / distended], [palpable renal masses / bladder distension], no tenderness. Genitourinary: [Normal external genitalia / hypospadias / ambiguous genitalia / abnormal meatus]. Back: No sacral dimples or tufts of hair. Extremities: No edema. Growth: [Height / Weight] percentile [X].
Treatment Protocol
Plan: 1. Serial monitoring of renal function (BUN/Cr/Electrolytes). 2. Imaging surveillance (Renal US, VCUG, or MAG3 scan as indicated). 3. Prophylactic antibiotics [Agent/Dose] for [VUR/obstruction]. 4. Blood pressure management. 5. Referral to Pediatric Nephrology/Urology for [surgical intervention/long-term management].