Chapter 20 Genitourinary Surgery Matching Diagnostic Examinations -

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

“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 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.” The renal ultrasound showed a 6 mm stone

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

Matt flipped through his own copy. “Chapter 20… matching diagnostic exams… here. They list: intravenous pyelogram, retrograde urethrogram, renal ultrasound, cystourethroscopy, and MRI of the kidneys.” It’s about the patient

Lena smiled. “Textbook matching — but applied.”

She walked to Mrs. Kowalski’s room. The elderly woman was clutching a pillow. “Doctor, I’m so tired of not knowing.” “Mrs

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