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Board question..

Discussion in 'Step II' started by APACHE3, 10.22.05.

  1. APACHE3

    APACHE3 Senior Member

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    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:
  2. phatfarm

    phatfarm Member

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    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.
  3. Smurfette

    Smurfette smurfalicious Administrator SDN Senior Moderator

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

    StringBean Senior Member

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    I'd definitely go for US first if it's a choice. Better then both of the others you've mentioned.
  5. Pox in a box

    Pox in a box 1K Member

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    Good call SB...better yet, get a urine sample (probably obviously done...).
  6. APACHE3

    APACHE3 Senior Member

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    I think the CT WITHOUT contrast is the best test. Appreciate the feedback!

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