طفلة عمرها سنتان تتكرر عندها التهابات الكلى مع حرارة، والتصوير أظهر ارتجاع البول من المثانة للحالب. أي تعليم للأهل مهم؟

A 2-year-old girl has recurrent febrile kidney infections, and imaging shows vesicoureteral reflux. Which teaching for the parents is important?

1. Stop any prescribed prophylactic antibiotic
2. Give antipyretics only and do not see a doctor
3. Restrict her water to reduce the reflux
4. Unexplained fever needs an urgent urine test

Answer: D) Unexplained fever needs an urgent urine test. Reflux increases the risk of pyelonephritis and scarring. Unexplained fever needs prompt urinalysis; prophylactic antibiotics may be prescribed and constipation treated.