title: [Overview of Clinical Examination in Nephrology and Urology--Efficacy of Routine Ultrasound in Detection of Chronic Kidney Disease].
abstract: OBJECTIVE
  We re-evaluated the usefulness of ultrasound (US) performed in routine examination as a screening procedure for chronic kidney disease.
  
  
  METHODS
  Of 294 patients screened by US in routine examination, 75 were identified as those with chronic renal damage during a one-month period (March 2013) in our hospital. We examined the patients' clinical background and extracted their characteristics.
  
  
  RESULTS
  Thirty-six patients with chronic renal damage were detected out of US in 72 suspected cases, and 39 in 222 unsuspected cases. Among the latter group, US was performed to examine the upper abdomen in 35 cases, and to examine the whole abdomen in 3 cases. Among the latter group, US was performed in a checkup of the liver in 14 cases, as a routine examination for diabetics in 7 cases, and as a screening test for cancer in 4 cases. Among the latter group, US was performed on the request of endocrinologists in 12 cases, surgeons in 6 cases, and cardiovascular teams in 6 cases.
  
  
  CONCLUSIONS
  Many patients with chronic kidney disease were detected by US in unsuspected cases incidentally. In other words, we should note that their physicians often did not intend to look for it at the time of ordering US examination. US may be useful for the detection of chronic kidney disease not only in high-risk cases, but also in low-risk, unsuspected cases.
authors: Kei
authors: K
authors: Konno
mesh_terms: D003955:Diagnostic Tests, Routine; D006801:Humans; D033162:Incidental Findings; D008403:Mass Screening; D051436:Renal Insufficiency, Chronic / Q000000981:diagnostic imaging*; D012306:Risk; D014463:Ultrasonography