Pyuria is defined as more than 5WBCs/mm 3 of urine and if this definition is taken into consideration it correlates in 90% cases of UTI. However, pyuria may be masked in significant infections due to Proteus, Klebsiella and Pseudomonas due to disintegration of White Blood Cells caused by alkaline condition produced by these urease positive organisms. Children were subjected to physical examination, blood pressure recording and urine was collected and further analyzed. All children were advised to collect mid stream clean catch urine sample under strict aseptic precautions. The collected urine samples were tested for protein, blood and bacteria by dipstick method and microscopy rapid screening test like griess nitrate test was done. 95% of the children had no RBCs in urine. 2.8% showed 1-5 RBCs/ HPF. Significant hematuria (> 5 RBCs/ HPF) was seen in 2.2% of children.

Routine use of diagnostic ultrasound in pregnancy has led to the detection of urologic abnormality in many fetuses. The most common abnormality detected is hydronephrosis caused by the P.U.J. obstruction followed by multicystic dysplastic kidney [4] . Bilateral renal dysplasia or agenesis may be associate with oligohydramnios. However antenatal diagnosis of posterior urethral valves may be missed unless a scan is undertaken late in pregnancy. A cross sectional study was conducted on 500 school going children of both sexes. An informed consent was obtained followed by a visit to the institution. Children were subjected to physical examination, blood pressure recording and urine was collected and further analyzed. Culture repeated on cases with significant have shown the growth of same organism in 7 cases. Thus asymptomatic bacteriuria was taken as 1.4%.E. coli (42.8%) was the most common isolated organism followed by Klebsiella (28.5%).

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Masseter muscle hypertrophy can be defined as a rare, asymptomatic, atypical amplification of the masseter muscle, moreover in a unilateral or bilateral pattern which is manifested in the form of an intensified muscle mass. The treatment of the hypertrophy may or may not be of importance and just removal/correction of the etiological trigger factor responsible for it. Appropriate diagnosis and management of the disease process should be the part of the teaching curriculum and should be taught as the basic part of the diagnosis. Herein, we are reporting a case report of a patient who was diagnosed with masseter muscle hypertrophy.

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