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7385 Pediatrics

A mother arrives to your office in a panic. She had just returned home from the delivery of her third child, who was born by cesarean section because he was large for gestation age. Upon changing his first diaper at home she noticed gross blood in his diaper. On examination, you find a left-sided abdominal mass that was not present in the normal newborn nursery. Which of the following is the most appropriate next step in the diagnosis and management of this child?

AUrine catheterization and initiation of intravenous antibiotics
BMeasurement of urine catecholamines to include vanillylmandelic and homovanillic acid levels
CCT scan of the chest and abdomen
DRenal ultrasound with renal vein Doppler studies
Pediatrics
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