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DAILY FREE MCQ CHALLENGE for Medical PG Preparation
Question
Which among the following is the investigation of choice to demonstrate vesicoureteral reflux?
A. Cystoscopy
B. Static cystogram
C. Isotope cystogram
D. Voiding cystourethrography
TIPSImportant Question from DNB 1998
See Answer Here
D. Voiding cystourethrography
See Explanation Here
Vesicoureteral reflux
Vesicoureteral reflux is defined as retrograde flow of urine from the urinary bladder into the ureter toward the kidney. Vesicoureteral reflux is thought to result from shortened or abnormally angulated insertion of the ureter into the bladder, and it may lead to urinary tract infection, acute pyelonephritis, and renal scarring.
IMAGING STUDIES
- The most useful study for conclusive diagnosis of reflux continues to be voiding cystourethrography.
- This study demonstrates the grade of reflux as well as the urethral anatomy.
- Radionuclide voiding studies are extremely sensitive at detecting reflux but do not demonstrate the anatomic detail seen with a voiding cystourethrogram.
References
Pediatric Radiology. In: Elsayes KM, Oldham SA. eds. Introduction to Diagnostic Radiology. Reference link; Urology. In: Doherty GM. eds. CURRENT Diagnosis & Treatment: Surgery, 14e. Reference link
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