Q:

A 75-year-old man with adenocarcinoma of the prostate which has spread outside the capsule of the gland has ARF (acute renal failure). What is the most appropriate next investigation?

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A 75-year-old man with adenocarcinoma of the prostate which has spread outside the capsule of the gland has ARF (acute renal failure). What is the most appropriate next investigation?


  1. MRI spine
  2. Radionuclide bone scan
  3. Trans rectal US
  4. US pelvis
  5. US KUB

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The key is E. US KUB. [extension beyond capsule may cause obstruction of ureters, causing loin pain, anuria, symptoms of acute kidney injury or chronic kidney disease (here ARF) ref: patient.info].

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