A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:

A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:
A . A retrograde urethrogram.
B . A voiding cystourethrogram.
C . An intravenous pyelogram.
D . A cystogram obtained after filling, until a detrusor response occurs.

Answer: A

Explanation:

A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications • pelvic trauma in the emergency department • diminished urinary stream • urethral strictures • urethral diverticula • urethral obstruction • suspected urethral foreign bodies • urethral mucosal tumors • suspected urethral fistula

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