45 yr old male with H/o repeated attacks of UTI, X-ray KUB showing radio opaque shadow –
Correct Answer: Ureteric pathology
Description: Ans. is 'a' i.e., Ureteric pathology Ureteric Stones* Almost always associated with UTI* Usually radio opaque X ray KUB* CT KUB is the gold standard for imaging ureteric stones, with the vast majority (99%) being radiodense. Stones > 1 mm in size are visualised, with the specificity of helical CT as high as 100%* Calculi size and location as well as ureter anatomy are important factors in determining likelihood of spontaneous calculi passage with stones less than 5 mm having high likelihood of passing down the ureter. However even small calculi may be impossible to pass if it is located at the pelvicoureteric junction or in patients with ureteral strictures. Passage of calculi may be facilitated with tamsulosin and nifedipine.* In calculi >10 mm or with failed conservative management, urological procedures such as extracorporeal shock wave lithotripsy (ESWL), ureteroscopic lithotripsy or percutaenous nephrostomy may be required.
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now