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G. D. is a 13-year-old male patient who has a history of recurrent fever and flank pain

G. D. is a 13-year-old male patient who has a history of recurrent fever and flank pain. His parents traditionally

are not believers in the health care system, and he has not been seen by a health care provider for many years. Today he has fever, chills, and costovertebral angle tenderness. Urinalysis reveals findings consistent with acute urinary infection. The AGACNP treats the patient for pyelonephritis and considers which study to evaluate for vesicoureteral reflux?

A. Bilateral renal ultrasound

B. CT scan of the abdomen and pelvis

C. Voiding cystourethrograpy

D. Radioisotope scanning

 
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