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February 6, 2023

An 8-year-old Black girl is complaining of burning when urinating for the past day. She reports wetting herself at school because she was unable to hold it until she was able to get to the

An 8-year-old Black girl is complaining of burning when urinating for the past day. She reports wetting herself at school because she was unable to hold it until she was able to get to the bathroom. When she toileted, she voided only small amounts. She denies fever, back, or suprapubic pain. The child is accompanied by her mother.
No past medical history or medications.
Allergies: penicillin (hives).
Vaccines: up to date.
Physical examination: vital signs and examination are within normal limits.
Urine dipstick: positive for leukocytes, nitrites, and blood.
Discuss most likely cause of the hematuria. Discuss data that supports your decision as well as diagnostic and treatment strategies.

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