1. Dr. Kim, a urologist, has ordered an IVP/IVU for a newly admitted patient. Wh

Question

1. Dr. Kim, a urologist, has ordered an IVP/IVU for a newly admitted patient. What does this test involve? Is contrast necessary and, if so, what type? Can this test diagnose tumors? If the IVP/IVU does not provide sufficient information, what other tests can the physician order?

2. Wilfred Rice, a 63-year-old man, has been experiencing difficulty urinating. Dr. Hollister, a urologist, has decided to do a transrectal ultrasound (TRUS) of the prostate on Mr. Rice. Why is the prostate ultrasound an important diagnostic tool? How is the study carried out? What diagnoses can be identified or ruled out?

Explanation / Answer

1.IVP stands for Intravenous pyelogram is an x-ray test that provides pictures of the kidney,urethra, bladder and ureters.

* contrast is necessary.iodine contrast solution is using.

*it can diagnose tumors.but not supposed to do if patient is suspecting for kidney cancer.

*physician can order CT scan,MRI scan,PET scan,bone scan to assesd spread of cancer and kidney biopsy.

2.it is important because it helps to detect abnormalities of prostate gland.

* to perform this procedure,the technician covers a small imaging tool called transducers with ultrasound gel.then technician slowly inserts the transducer in to rectum and moves it around gently to get images of prostate gland

*it helps to diagnose prostate cancer,abnormalities and conditions related to prostate gland.

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