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Doctor insights on: When Do You Order Vcug And Renal Ultrasound After 1st Uti

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32 yr old female diabetic high bp, doc wants renal ultrasound after urine test showed a micro of 10. What does that mean? No pain, itch or UTI symp.

32 yr old female diabetic high bp, doc wants renal ultrasound after urine test showed a micro of 10.  What does that mean? No pain, itch or UTI symp.

Not for infection: Likely ultrasound is to check morphology, size of kidneys. Diabetic patients may have protein in the urine. This is one of the early manifestations of diabetic kidney disease. ...Read more

Dr. Michael Gabor
2,194 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Should I get a vcug for my 2yr old daughter after first UTI at 24mths? Dr wants ultrasound & vcug

Should I get a vcug for my 2yr old daughter after first UTI at 24mths?   Dr wants ultrasound & vcug

Yes: Current recommendations for the work up of a UTI for young children up to 2 years includes a renal ultrasound as well as a vcug. Other factors may influence this decision: fever with uti, gender (boys of any age require work up), recurrent uti's, urination problems, growth problems, high blood pressure and family history of kidney problems. ...Read more

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6y/o has spells with symptoms of UTI positive urine dips but cultures neg vcug and ultra sound normal what can cause symptoms on & off for 2 years?

6y/o has spells with symptoms of UTI positive urine dips but cultures neg  vcug and ultra sound normal   what can cause symptoms on & off for 2 years?

Multifactorial: It appears that you have been fully investigated. Given your statement, one has to think of other causes than bacterial infection. The individuals with tendency to allergy, generally food, animals, spices, and hives can manifest allergic cystitis. Keep a careful note of these things. ...Read more

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What conditions can actually be detected with a renal ultrasound scan?

What conditions can actually be detected with a renal ultrasound scan?

Renal ultrasound.: Renal ultrasound can find blockages of the urine in the urinary tract or bladder, blockages of the arteries the feed the kidneys blood, kidney size, kidney cysts (and polycystic kidney disease), sometimes but not always kidney stones, and kidney tumors.Since it uses sound waves to create images of the kidney, it is safe, but operator dependent and the images are subject to erroneous interpretation. ...Read more

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Can a renal ultrasound diagnose renal parenchymal disease?

Can a renal ultrasound diagnose renal parenchymal disease?

Not typically: An ultrasound can suggest radiographic evidence of medical renal disease but cannot diagnose this. To make the diagnosis of renal parenchymal disease the radiographic findings must be combined with blood studies of kidney function and sometimes urine studies for protein or a kidney biopsy. ...Read more

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What happens if a renal ultrasound with doppler is performed how would you code this?

Looking for ras: Typically that is done as screening for renal artery stenosis in a patient with resistant hypertension ...Read more

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Why would a doctor recommend a renal ultrasound?

Why would a doctor recommend a renal ultrasound?

Your: doctor must suspect some sort of kidney problem. There are numerous potential renal abnormalities and renal manifestations of systemic abnormalities. Avoid speculation and ask your doc the reason for the test. ...Read more

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How much liquid should a five year old drink before a renal ultrasound?

How much liquid should a five year old drink before a renal ultrasound?

See below: The bladder should be full for this study... – children who have bladder control should not empty their bladder for two to three hours before the ultrasound scan – infants who do not have bladder control should have as much fluid as they can tolerate about 30 minutes before the ultrasound scans. ...Read more

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My son has urine reflux on both his kidney on a renal ultrasound. Is that bad?

My son has urine reflux on both his kidney on a renal ultrasound. Is that bad?

Varies: The urine collecting system is supposed to flow out, not back & reflux describes back flow. Two issues have importance;chance of infection going up to the kidney from the bladder& pressure stretching open the collecting system. Low grade reflux will often disappear within a year or two, high grade reflux may require surgery.Discuss your kids findings & explore your options. ...Read more

Urinary Tract Infection (Definition)

A urinary tract infection, also known as an UTI, may involve the kidney, ureter, bladder, or urethra. A common cause is an intestinal bacteria, E. coli. Common symptoms include a frequent urge to urinate, and pain or burning when urinating. Antibiotics are typically ...Read more


Dr. Martin Raff
1,895 doctors shared insights

Urinary Tract Infections (Definition)

A urinary tract infection (often called UTI) is most commonly caused by bacteria and usually refers to an infection in the bladder. Not all bacteria that grows from the urine represents an infection, so the need for antibiotics is determined by your ...Read more