A 6-year-old child with recurrent UI with mouth breath ing and failure to grow with high arched palate and impaired hearing should be managed by

The child is having recurrent UI with high arched palate and failure to grow which indicates child is having adenoids and since there is impaired hearing it means child has developed otitis media as a complication. Hence logically the child should be treated with adenoidectomy with grommet inseion. Ref:- Scott Brown; pg num:- 896-906