Drag words from the choices below to fill in each blank in the following sentence. The child is at risk for developing dropdownanddropdown

Rationale for correct choices • Pyelonephritis: The toddler has a history of vesicoureteral reflux and recurrent urinary tract infections, which increase the risk of ascending infection to the kidneys. Current symptoms of fever, lethargy, decreased appetite, and positive urinalysis (leukocyte esterase, nitrites, elevated WBCs) indicate an active urinary tract infection that could involve the renal parenchyma, consistent with pyelonephritis. • Renal scarring: Recurrent UTIs, especially in the presence of vesicoureteral reflux, increase the risk of permanent renal parenchymal damage. Renal scarring can lead to long-term complications such as hypertension, chronic kidney disease, and impaired renal function. Rationale for incorrect choices • Nephrotic syndrome: Nephrotic syndrome presents with massive proteinuria, hypoalbuminemia, edema, and hyperlipidemia. The toddler currently has signs of infection without the classic edema or proteinuria, making nephrotic syndrome unlikely. • Polycystic kidney: Polycystic kidney disease is a congenital condition characterized by enlarged, cystic kidneys and usually presents with hypertension or abdominal mass. The toddler’s acute symptoms are related to infection rather than structural kidney abnormalities. • Acute glomerulonephritis: Acute glomerulonephritis often presents with hematuria, proteinuria, edema, hypertension, and sometimes oliguria, typically following a streptococcal infection. The toddler’s urinalysis shows infection markers rather than glomerular inflammation, making this diagnosis less likely.