Question

7. The pediatrician suggested that Dr. Wright and Dr. Leftt would have differing viewpoints on how to treat Kayla. How will their opinions differ based on Dr. Hubble's warning here?

Answer 1

Answer:

Hello, the question is incomplete. Please check Explanation below for the complete question.

Explanation:

"At the new office, the nurse weighed and measured Kayla, then took her temperature and reviewed her

symptoms with Sara. Doctor Hubble then came in to check Kayla. He had completed an internship and some

research in pediatric urology and immediately recognized the symptoms. He requested a urine sample, which

was successfully accomplished with a catheter7

, a procedure that was very uncomfortable for both Kayla and

Sara. The specimen was loaded with pus and blood cells.

“I think that in light of the urinary tract infection, Kayla should immediately

begin an antibiotic,” said Dr. Hubble. “She also needs a VCUG8

. This is a

voiding cystourethrogram is an n X-ray test that takes pictures of your bladder

and urethra while your bladder is full and while you are urinating.

The doctor also ordered an IVP8

, or an intravenous pyelogram, used to detect

anatomic abnormalities. This X-ray image would show the kidneys, bladder,

and ureters.

By the end of the week both tests had been completed and Sara, Matt, and

Kayla were back at the pediatrician’s office for a consultation. The tests had

revealed a diagnosis of bilateral duplicate collection systems (four ureters

instead of the usual two), hydronephrosis (urine collecting in the kidney

pelvis), and grades four and five reflux (urine doesn’t empty normally and backs up into the kidneys). Kayla’s

kidney function was markedly decreased on the right and partially limited on the left.

“I feel that you need to take Kayla to a specialist,” Doctor Hubble advised. “I recommend Dr. Leftt, a surgeon

who is an expert in pediatric urology. I also want you to be aware that within the pediatric urology community

there is some disagreement on the course of treatment—medical versus surgical management. You may also

want to consult with Dr. Wright. He’s equally as competent but will most likely take a medical view of how

Kayla should be managed. Perhaps you should meet with both doctors before deciding. Right now, I think

Kayla should have a daily antibiotic to prevent further infections and damage to her kidneys."

In order to solve to solve this particular Question, we must read and understand the article above on the clinical case of "what is wrong with Kayla?"

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From the clinical case above we can see that Dr. Hubble suggest that they should meet Dr Left for surgical treatment for the patient while he also said that they should meet Dr. Wright for antibiotic treatment.

Both medical personnel that is Dr. Left and Dr. Wright are expected to assess the clinical state of the patient to determine the best option for the patient.