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abdomen xrays for fu renal stones??!
What is the purpose of these? We have PCPs that routinely order these “just for follow-up” in patients are not symptomatic.
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8 Replies
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We have urologists ordering them…..
Usually that is on cases with CT documented stone to make sure it keeps moving.
An acquaintances relative eventually ended up on dialysis from improperly followed stone disease. In older folks, obstruction isn’t always symptomatic. But then, to follow obstruction, US is the better option than a plain film.
But I am sure AI is gonna fix all that.-
Yearly urology clinic f/u with stone X-ray. Very annoying studies but very common.
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Im an R1. At our hospital, we get ct non con studies to assess stone burden. I havent seen any US or X-rays for it.
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yeah, in the academic settings docs are smarter. Not so much that way in community practice.
When I finished training 8 years ago they had not been doing IVPs for like 10-15 years where I trained. I read a ton of them the first few years of PP.-
we get x rays for these all the time. Sometimes for like 3 mm stones. kinda pointless. Sometimes if stone is big enough can maybe comment on if it’s progressed down the expected location of ureter etc…otherwise I am not a fan.
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Quote from hopefulradsfuture
yeah, in the academic settings docs are smarter. Not so much that way in community practice.
For the most part they are also ignorant to the cost they stick their patients with. A KUB to document stone movement and an US to r/o persistent hydro are much cheaper than repeated stone CTs.
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typically post-lithotripsy
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I read ten of these a day
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