What will be next investigation to be done in case of a 2 year old female child with lst episode of UTI –
**Core Concept**
The underlying principle being tested is the appropriate diagnostic approach for a child presenting with a first episode of urinary tract infection (UTI), focusing on identifying any underlying anatomical or functional abnormalities that could predispose to recurrent infections or renal damage.
**Why the Correct Answer is Right**
Given the age of the child and the first episode of UTI, the next step involves assessing the urinary tract for any abnormalities. The American Academy of Pediatrics recommends ultrasonography as the initial imaging study for children with UTIs to evaluate for hydronephrosis, renal scarring, and other abnormalities.
**Why Each Wrong Option is Incorrect**
**Option A:** This choice is not specified, but typically, immediate invasive procedures are not the first line.
**Option B:** Similarly, this choice is unspecified but would be incorrect if it suggested an immediate more invasive test without initial non-invasive assessment.
**Option D:** This option is also unspecified but would be incorrect if it suggested delaying investigation or not investigating at all.
**Clinical Pearl / High-Yield Fact**
In children with UTI, especially those under the age of 5, ultrasonography is a crucial initial imaging technique due to its non-invasive nature and lack of radiation, helping to identify potential anatomical issues such as vesicoureteral reflux or renal anomalies.
**Correct Answer:** D. Ultrasound of the abdomen.