Chapter 20 Genitourinary Surgery Matching Diagnostic Examinations (2025)

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

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.” Later, Lena signed off on the chart

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