Board question..

Discussion in 'Step II' started by APACHE3, Oct 22, 2005.

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  1. APACHE3

    APACHE3 Senior Member 5+ Year Member

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    Mar 24, 2005
    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:
     
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  3. phatfarm

    phatfarm Member 5+ Year Member

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    Oct 20, 2005
    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.
     
  4. Smurfette

    Smurfette The blonde among the blue. SDN Administrator 10+ Year Member

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

    StringBean Senior Member 5+ Year Member

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    Apr 6, 2004
    I'd definitely go for US first if it's a choice. Better then both of the others you've mentioned.
     
  6. Pox in a box

    Pox in a box 1K Member 10+ Year Member

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    Jan 7, 2005
    Good call SB...better yet, get a urine sample (probably obviously done...).
     
  7. APACHE3

    APACHE3 Senior Member 5+ Year Member

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    Mar 24, 2005
    I think the CT WITHOUT contrast is the best test. Appreciate the feedback!
     

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