View Full Version : Board question..


APACHE3
10-22-2005, 02:35 PM
Pt with renal stone: Which is the choice for the boards?

1) CT renal protocol with contrast
2) IV pyelography

Pt's BUN/Cr are normal

Both can be first line test??? :confused:

phatfarm
10-24-2005, 05:08 PM
Pt with renal stone: Which is the choice for the boards?

1) CT renal protocol with contrast
2) IV pyelography

Pt's BUN/Cr are normal

Both can be first line test??? :confused:

Given the 2 choices, I'd go for #2. I believe a CT renal stone protocol is done WITHOUT contrast. If given a choice between CT renal stone protocol without contrast and #2, I'd choose the former.

Smurfette
10-24-2005, 07:05 PM
Given the 2 choices, I'd go for #2. I believe a CT renal stone protocol is done WITHOUT contrast. If given a choice between CT renal stone protocol without contrast and #2, I'd choose the former.

CTs evaluating for kidney stones are without contrast--too difficult to see the stone with contrast present. I agree with phatfarm...

StringBean
10-24-2005, 07:48 PM
I'd definitely go for US first if it's a choice. Better then both of the others you've mentioned.

Pox in a box
10-24-2005, 08:08 PM
I'd definitely go for US first if it's a choice. Better then both of the others you've mentioned.

Good call SB...better yet, get a urine sample (probably obviously done...).

APACHE3
10-24-2005, 11:38 PM
I think the CT WITHOUT contrast is the best test. Appreciate the feedback!