A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply
a. Hypocalciuria
b. Nephrotic syndrome
c. Glomerulonephritis
d. UTI
e. Diabetes mellitus
D, E
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Correct Complaints of dysuria or urgency from a child with secondary enuresis
suggest the possibility of a UTI. If accompanied by excessive thirst and
weight loss, these symptoms may indicate the onset of diabetes mellitus.
Incorrect An excessive loss of calcium in the urine (hypercalciuria) can be
associated with complaints of painful urination, urgency, frequency, and
wetting. Nephrotic syndrome is not usually associated with complaints of
dysuria or urgency. Glomerulonephritis is not a likely cause of dysuria or
urgency.
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