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Home Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis)
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Flank pain, acute, stone disease suspected, no hx of stone disease, initial imaging 3196624
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US color Doppler kidneys and bladder retroperitoneal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
US kidneys and bladder retroperitoneal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
Radiography abdomen and pelvis
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography intravenous urography
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI abdomen and pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen and pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRU without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRU without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTU without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate