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. Urinary tract infection (UTI)
e. Diabetes mellitus
ANS: D, E
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. 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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