Develop nocturnal enuresis

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Question

Jessica Peyton, age 4, began wetting her bed again after being dry at night for the past 3 months. She cried when she urinated and was crabby and lethargic. Jessica's mother had seen these signs before and recognized them as manifestations of yet another urinary tract infection. She took Jessica to a pediatric nurse practitioner who had just opened an office nearby. After taking a thorough health history, the nurse practitioner obtained a urine sample, diagnosed cystitis, and prescribed an antibiotic. She also referred Jessica to a urologist, who discovered that Jessica has vesicoureteral reflux.

Answer the questions about Jessica in the Case Example Activity below on the discussion board.

1. Why would a urinary tract infection cause Jessica to develop nocturnal enuresis?

2. Why did the nurse practitioner suspect that Jessica had vesicoureteral reflux?

3. Explain what vesicoureteral reflux is.

4. Why does vesicoureteral reflux predispose to urinary tract infection?

Reference no: EM133842180

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