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Computed tomography suggested of the kidney - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello my session was interrupted
Doctor :   Hi
User :   ok i lost the connection
Doctor :   I am sorry there were technical errors
User :   ok who is this>
User :   ok so what kinf of ct scan is indicated?
User :   kind
Doctor :   Ct with IV contrast
User :   abdominal? pelvic?
Doctor :   If it blood vessels (the hypo dense are) they will look very clearly with contras
Doctor :   Because the Purpose of CT is to visualize the mass of liver , I will suggest CT abdomen only
User :   ok the mass is on the kidney
Doctor :   Sorry
Doctor :   CT abdomen is enough
Doctor :   Kidneys are in abdomen
User :   the doctor orfered ct of both abdomen and pelvis
Doctor :   I need some more info
User :   ordered
Doctor :   Many do that
User :   is that ok?
Doctor :   They want more info
Doctor :   But that is ok
Doctor :   WHy the Ultrasound was done?
Doctor :   What kind of problems you had?
Doctor :   What symptoms you have ?
User :   complained of stomach problems i am overweight
Doctor :   How old are you?
Doctor :   Any pain?
User :   fullness burbing indigestion
User :   burping
Doctor :   ok
Doctor :   That indicates Gall bladder and stomach problems
User :   i am concerned ct scan of abdomen and pelvis too much
Doctor :   So the Gall bladder is normal
User :   yes
User :   accord to ultrasound
Doctor :   I worked as Family Practice resident in LSU HSC -Monroe for 2 yrs
Doctor :   The protocols says
Doctor :   If there is abnormal finding in one investigation the radiologist will suggest follow up
Doctor :   If they find some thing not clear on chest x ray they will order CT chest
User :   ok so you think ct scan of abdomen and pelvis warrented?
Doctor :   Similar situation here
Doctor :   Even though the symptoms do not suggest here to go for CT of abdomen /pelvis, the abnormal Ultrasound guiding you to go for it
Doctor :   So there is nothing wrong going for the test
Doctor :   What are you worried abut?
Doctor :   Cost? radiation exposure?
Doctor :   appropriateness of test?\
User :   i orginially thougfht it was a gall bladder rpoblem based omn the burping nausea in the morning
Doctor :   Yes it is mostly gall bladder problem
User :   concerned with radiation exposure
Doctor :   radiation exposure is not that great to cause cancer r. So that is not the issue here
Doctor :   so cost is not the problem
User :   no not cost
Doctor :   so get the test done so that you will know what it is
Doctor :   So that you will get acurate diagnosis , you will be relieved mentally
User :   so both abdomen and pelvis?
Doctor :   YES
User :   ok i am going today
Doctor :   Where?
Doctor :   For test?
User :   a hospital outpatient office in Connecticut
User :   for ct
Doctor :   ok
Doctor :   After that consult your doctor
User :   yes so you think i should have more test for gall bladder?
Doctor :   The previous Ultrasound is noprmal
Doctor :   You did not tell me?
User :   yes
User :   nornal
Doctor :   So no further testing rquired
User :   ok
User :   thank you
Doctor :   Use prilosec 40 mg daily
User :   ok
Doctor :   Avoid fatty food
Doctor :   Eat small portions
User :   bye
Doctor :   Thank you
Doctor :   Bye
Doctor :   Good luck
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