Surgery MCQ 64

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True statements concerning the diagnosis and management of retroperitoneal fibrosis include:

    1. Most patients present with dull, non-colicky back, flank, or abdominal pain

    2. Evidence of impaired renal function with an elevated blood urea nitrogen is common

    3. The diagnosis is most commonly suggested by intravenous pyelography although contrast studies with CT scan or MRI are useful in further defining the disease

    4. Most patients can be managed nonoperatively

    5. The prognosis for nonmalignant retroperitoneal fibrosis is grim with progression of disease until death occurring in most patients

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