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.
