Progressive azotemia with known renovascular hypertension. Azotemia in the presence of abominal or flank bruits. Azotemia associated with the recent onset of difficult to control hypertension. Undiagnosed renal failure, especially in the presence of a bland urinary sediment. Both of these are excellent screening procedures from the standpoint of sensitivity and specificity.
Renal angiography is still the definitive test after a positive screening procedure.
You schedule Mrs. Weaks for a renal Doppler arterial ultrasound. Jake has learned so much today he requests to stay on as your shadow for the rest of the Summer . Reprinted with permission. Take the test References 1. Joint National Committee.