Imaging for Pediatric UTI

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Northerncardinal

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A 22 month old boy with recurrent UTI. what imaging modality would you order next?

1. ultrasound
2. vesicourethrogram
3. ultrasound followed by vesicourethrogram (vcug)

do we always order renal bladder ultrasound first and then vcug or go straight for vcug in this case?
 
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