On arrival, you see a well appearing child with normal vital signs and a normal physical exam.
Which is the BEST approach to his management?
A. After thorough cleaning of the perineum with antiseptic, obtain a bag specimen for urinalysis and culture
B. Place a urinary (Foley) catheter and leave in place to ensure urine output and to treat possible stricture
C. Observe patient until he is able to perform a clean catch specimen
D. Perform suprapubic catheterization
In the meantime, a quote –
“A clinician is complex. He is part craftsman, part practical scientist, and part historian.”
– Thomas Addis, Scottish-born U.S. clinical scientist and pioneer in nephrology (1881-1949)