Abstract
1. Patrick Motz, DO, MD* 2. Abiodun Omoloja, MD, MBA* 1. *Dayton Children’s Hospital, Dayton, OH. A 7-year-old girl presents with recurrent episodes of dysuria. She has been diagnosed and treated for multiple episodes of urinary tract infections (UTIs). Review of her past medical history reveals 4 to 5 episodes of UTI within the last year. All were diagnosed clinically, based on the presence of dysuria and abdominal pain. She drinks a large amount of water during the day due to thirst and wakes up every night to drink at least 1 cup of water. On physical examination, the well-appearing girl has normal vital signs for age. Growth charts demonstrate that her weight and height are at the 12th and 2nd percentiles, respectively. All findings on the physical examination are normal. A voiding cystourethrogram (VCUG) does not show ureteral reflux, but abdominal radiography documents extensive bilateral nephrocalcinosis (Figure). Initial laboratory results include: Figure. Plain abdominal radiograph shows bilateral nephrocalcinosis (arrows).
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