Details.

✔️Common Urinary symptoms. Like dribbling, weak stream, difficulty ,frequency urgency nocturia dysuria
✔️Swelling. Edema.
✔️Bed wetting after age 7
✔️Growth. Weight.
✔️Pale. Vomiting. Abdominal pain etc
✔️Rash. Joint pains. Itching.
✔️Foams or bubbles in urine.


Top 5 Conditions causing these symptoms are as follows:


✔️PUV 1 in 10k males. Rare Extra flap. UTO. Difficulty poor stream. Surgery.


✔️VU reflux and UTI. More common. 1-3%. Congenital. UTI and damage to kidney.
VCUG to detect. 5. Grades.
Surgery for leaky valve if advance.


✔️PUJ obstruction ...one in 1500. May manifest in adult age. Recently 18 YO girl with mass in abdomin. Pyloplasty needed. Otherwise kidney can fail.


✔️MCD and Nephritic syndrome & CKD. Most common cause in children


✔️Bed Wetting / Nocturnal Enuresis
Children common standards Develoment stage. Normal. But must make sure no underlying dx.... some adults and older kids may have it
2% adults have it too
Causes / Mechanism
Small bladder
UTI
CNS issues
Stress
Treatment : not to take meds every night
Treatment. TCA..TOFRANIL. Imipramine

свернуть