COVID TIME -Bilateral high grade reflux with recurrent febrile episodes
3 and half years male child presented with history of recurrent febrile episodes in last one year. None of the time, urine evaluated for underlying UTI.
On recent febrile event he was admitted and evaluated for UTI.
He is on AB prophylaxis since 3 weeks.
S. Creatinine 0.44
USG : BILATERAL HUN, left pelvic dilatation 20mm. Bladder normal.
I am attaching VCUG, done before a week.
DMSA is not possible because of lockdown.
How will you prefer to investigate this child further?
Which investigation for baseline scarring and renal function?
Your treatment options?