A one year old boy is brought to his pediatrician by his mother who has noted colicky adominal pain and fever


Question Number 0974
Question:
A one year old boy is brought to his pediatrician by his mother who has noted colicky adominal pain and fever. On examination his scrotal skin is erythematous and warm and he has a urethral discharge. Investigation reveals a leukocytosis and pyuria. Sedimentation of the urine revealed E. coli which is successfully treated with antibiotics by his pediatrician. When next seen at the clinic the next week he is symptom-free The most appropriate next step would be
a) complete urologic investigation
b) no further treatment or investigation is necessary
c) radionuclide scintigraphy
d) inguinal-scrotal ultrasound
e) ceftriaxone and doxycycline

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