11th April 2024

An 11-year-old female of African heritage has been admitted to hospital complaining of burning and itching when passing urine.

An 11-year-old female of African heritage has been admitted to hospital complaining of burning and itching when passing urine. A urine dipstick is positive for nitrites, leukocytes and blood. As you review the patient, you notice that she seems withdrawn and reluctant to answer your questions. Her mother is extremely reluctant for you to perform any physical examination of her external genitalia but refuses to provide a reason. You note on the medical notes that this is the patient’s fourth admission in 6 months with a UTI. What is the next most appropriate course of action?

Select the SINGLE most appropriate option from the list below. Select ONE option only.