How do you approach a child with a single febrile UTI and no prenatal history of hydronephrosis when deciding whether to obtain a VCUG?

The approach to a child with a febrile UTI and no history of prenatally identified urinary tract dilation (UTD) depends on the age of the patient. If the patient is not yet toilet-trained, the patient should be treated and at the same time a renal and bladder ultrasound should be obtained. If there ...

Get a postnatal US. If normal consider deferring VCUG unless high risk features like sepsis on presentation, family history, or unusual organism.