Chapter 20 Genitourinary Surgery Matching Diagnostic Examinations Review

Lena nodded. “Mrs. Kowalski in room 4. She’s got flank pain, hematuria, and a history of recurrent UTIs. My exam suggests possible renal calculus or transitional cell carcinoma. But before I decide on a cystoscopy versus a CT urogram, I need to match her symptoms to the right diagnostic exam — like the book says.”

“Stuck on the matching section again?” he asked.

Matt asked, “So why does the book make it sound so simple?” Lena nodded

“Exactly,” Lena said. “But the match isn’t just about the disease. It’s about the patient. Mrs. Kowalski has early-stage kidney disease — contrast is risky.”

Lena smiled. “Textbook matching — but applied.” She’s got flank pain, hematuria, and a history

“We’re going to figure it out,” Lena said. “No dyes today. Just sound waves.”

She walked to Mrs. Kowalski’s room. The elderly woman was clutching a pillow. “Doctor, I’m so tired of not knowing.” Matt asked, “So why does the book make it sound so simple

Matt scanned the page. “Then you match her presentation to ultrasound first. Noninvasive, no contrast. If that’s inconclusive, then non-contrast CT.”

The renal ultrasound showed a 6 mm stone lodged at the ureteropelvic junction — no tumor, no invasive testing needed.

Later, Lena signed off on the chart. She wrote: Diagnosis matched to exam per Chapter 20 guidelines. Conservative ureteroscopy scheduled.