Stroke Prevention as well as Screening near me
Should I get evaluated?
Does Abdominal Ultrasound Show Bladder Cancer
Get Our Screening Package For Only $ 149 (Special plan prices 50% off).
DISCOVER A LOCATION NEAR YOU
5 Preventive Health Screenings for these Diseases:
Carotid Artery Disease – Does Abdominal Ultrasound Show Bladder Cancer
An ultrasound is performed to screen the carotid arteries (a pair of capillary in the neck that delivers blood to your brain) for the develop of fatty plaque. Does abdominal ultrasound show bladder cancer. This build up, called atherosclerosis, is one of the leading sources of stroke.
Carotid (kuh-ROT-id) ultrasound is a risk-free, painless treatment that utilizes sound waves to examine the blood flow through the carotid arteries. Does abdominal ultrasound show bladder cancer.
Your 2 carotid arteries are located on each side of your neck. They supply blood from your heart to your brain.
Carotid ultrasound tests for blocked or tightened carotid arteries, which can enhance the danger of stroke. Does abdominal ultrasound show bladder cancer. The results can assist your physician establish a therapy to lower your stroke danger.
Ischemic stroke. A carotid ultrasound is performed to check for tightened carotid arteries, which raise the danger of stroke.
Carotid arteries are generally narrowed by a buildup of plaque – comprised of fat, cholesterol, calcium and various other substances that flow in the blood stream. Early medical diagnosis as well as therapy of a tightened carotid artery can reduce stroke danger.
Your doctor will certainly suggest carotid ultrasound if you have transient ischemic assaults (TIAs) or specific sorts of stroke as well as may suggest a carotid ultrasound if you have medical conditions that enhance the danger of stroke, including:
- Hypertension.
- Diabetes mellitus.
- High cholesterol.
- Family history of stroke or heart problem
- Recent transient ischemic strike (TIA) or stroke.
- Abnormal sound in carotid arteries (bruit), discovered by your physician utilizing a stethoscope.
- Coronary artery illness.
To evaluate for narrowed or obstructed blood vessels in other areas of the body, you may need additional examinations, consisting of:
Abdominal ultrasound. Does abdominal ultrasound show bladder cancer. You may have an stomach ultrasound to evaluate for problems impacting the blood vessels or organs in your stomach area.
Ankle-brachial index test. This test actions as well as compares the high blood pressure between your ankle as well as your arm. The examination reveals lowered or blocked blood circulation to your legs.
Cardiac cardiovascular test. Does abdominal ultrasound show bladder cancer. This test demonstrates how well your heart executes when under anxiety, such as during workout. Results can suggest poor blood flow to the heart.
Does abdominal ultrasound show bladder cancer. Your doctor may also get imaging examinations to detect coronary artery illness.
Various other uses carotid ultrasound.
Your medical professional may get a carotid ultrasound to:.
Evaluate blood flow through the artery after surgery to remove plaques (carotid endarterectomy).
Evaluate the placement as well as efficiency of a stent, a mesh tube utilized to improve blood circulation via an artery.
Find a collection of clotted blood (hematoma) that may protect against blood flow.
Identify other carotid artery abnormalities that may disrupt blood circulation.
Outer Arterial Disease (PAD) – Does Abdominal Ultrasound Show Bladder Cancer
Does abdominal ultrasound show bladder cancer. An Ankle-Brachial Index (ABI) examination is performed making use of high blood pressure cuffs on the arms and legs. It is very important to screen for PAD because it boosts the threat of coronary artery disease, heart attack, or stroke.
Outer artery disease ( additionally called peripheral arterial illness) is a usual problem in which tightened arteries decrease blood flow to the arms or legs.
In peripheral artery illness (PAD), the legs or arms– usually the legs– don’t receive adequate blood flow to stay on par with demand. Does abdominal ultrasound show bladder cancer. This may create leg discomfort when strolling (claudication) and also other signs and symptoms.
Peripheral artery illness is generally a sign of a accumulation of fatty down payments in the arteries (atherosclerosis). Atherosclerosis creates narrowing of the arteries that can decrease blood flow in the legs as well as, often, the arms.
Outer artery condition therapy includes working out, consuming a healthy and balanced diet plan as well as not smoking or making use of cigarette.
Signs and symptoms.
Lots of people with peripheral artery disease have light or no signs and symptoms. Some people have leg pain when strolling (claudication).
Claudication signs and symptoms include muscle discomfort or cramping in the legs or arms that starts throughout workout as well as ends with rest. Severe leg discomfort might make it hard to walk or do various other kinds of physical task.
Other outer artery condition signs might include:
- Temperature in the reduced leg or foot, especially when compared to the other side.
- Leg tingling or weak point.
- No pulse or a weak pulse in the legs or feet.
- Painful cramping in one or both of the hips, thighs or calf bone muscle mass after particular activities, such as strolling or climbing up stairs.
- Shiny skin on the legs. Does abdominal ultrasound show bladder cancer.
- Skin shade modifications on the legs.
- Slower development of the nails.
- Sores on the toes, feet or legs that won’t {heal| recover,
- Pain when making use of the arms, such as aching as well as cramping when weaving, writing or doing other hands-on jobs.
- Erectile dysfunction.
- Hair loss or slower hair development on the legs.
If peripheral artery illness becomes worse, discomfort might take place throughout remainder or when relaxing. The discomfort may interrupt rest. Hanging the legs over the edge of the bed or strolling might briefly ease the discomfort.
Reasons.
Advancement of atherosclerosis. Does abdominal ultrasound show bladder cancer. Peripheral artery illness is often brought on by a buildup of fatty, cholesterol-containing deposits (plaques) on artery walls. This procedure is called atherosclerosis. It reduces blood circulation through the arteries.
Atherosclerosis impacts arteries throughout the body. When it occurs in the arteries supplying blood to the limbs, it creates outer artery disease.
Less common reasons for outer artery illness consist of:
- Capillary inflammation.
- Injury to the arms or legs.
- Adjustments in the muscle mass or tendons.
- Radiation exposure.
- Threat factors.
- Cigarette smoking or having diabetic issues considerably raises the risk of establishing outer artery disease.
Other things that increase the danger of outer artery illness include:.
- A family history of outer artery disease, heart disease or stroke.
- High blood pressure.
- High cholesterol. Does abdominal ultrasound show bladder cancer.
- High degrees of an amino acid called homocysteine, which raise the threat for coronary artery illness.
- Enhancing age, particularly after 65 (or after 50 if you have risk elements for atherosclerosis).
- Obesity (a body mass index over 30).
Problems.
Issues of peripheral artery illness triggered by atherosclerosis consist of:
Does abdominal ultrasound show bladder cancer. In this problem, an injury or infection causes tissue to die. Signs include open sores on the arm or legs that do not recover.
Stroke and cardiac arrest. Plaque buildup in the arteries can likewise influence the capillary in the heart as well as brain.
Avoidance.
The best way to avoid leg discomfort due to peripheral artery illness is to maintain a healthy way of living.
That implies:.
- Don’t smoke.
- Control blood sugar.
- Eat foods that are low in saturated fat.
- Get regular workout – however consult your care company regarding what type as well as just how much is finest for you.
- Keep a healthy and balanced weight
- Manage high blood pressure as well as cholesterol.
Abdominal Aortic Aneurysm (AAA) – Does Abdominal Ultrasound Show Bladder Cancer
Does abdominal ultrasound show bladder cancer. An ultrasound is executed to screen the stomach aorta for the existence of an enlargement or aneurysm. AAA can bring about a fractured aortic artery, which is a major medical emergency situation.
An stomach aortic aneurysm is an enlarged area in the lower part of the major vessel that provides blood to the body (aorta). Does abdominal ultrasound show bladder cancer. The aorta ranges from the heart through the center of the breast as well as abdomen.
The aorta is the largest blood vessel in the body, so a burst abdominal aortic aneurysm can trigger dangerous bleeding.
Relying on the dimension of the aneurysm and just how quick it’s expanding, treatment differs from watchful waiting to emergency situation surgical procedure.
Symptoms.
Abdominal aortic aneurysms commonly expand slowly without visible signs, making them tough to detect. Some aneurysms never rupture.
If you have an expanding abdominal aortic aneurysm, you might notice:
- Deep, consistent discomfort in the tummy area or side of the tummy (abdomen).
- Back pain.
- A pulse near the belly button.
Causes.
Aneurysms can create anywhere along the aorta, yet many aortic aneurysms take place in the part of the aorta that’s in the belly area (abdomen).
A number of points can contribute in the growth of an stomach aortic aneurysm, consisting of:
- Solidifying of the arteries (atherosclerosis). Atherosclerosis happens when fat and also various other materials build up on the cellular lining of a capillary.
- Hypertension. High blood pressure can harm and also compromise the aorta’s walls.
- Blood vessel diseases. These are conditions that cause blood vessels to come to be irritated.
Infection in the aorta. Rarely, a microbial or fungal infection could cause an stomach aortic aneurysms. - Trauma. Being injured in a auto accident can create an abdominal aortic aneurysms.
- Threat factors.
Stomach aortic aneurysm danger variables include:
Cigarette use. Does abdominal ultrasound show bladder cancer. Smoking is the toughest threat variable for aortic aneurysms. Cigarette smoking can deteriorate the walls of the aorta, boosting the threat of aortic aneurysm and also aneurysm tear. The longer as well as extra you smoke or chew tobacco, the better the opportunities of creating an aortic aneurysm. Physicians advise a single abdominal ultrasound to screen for an stomach aortic aneurysm in males ages 65 to 75 who are current or former cigarette smokers.
Age. Stomach aortic aneurysms take place usually in people age 65 and also older.
Being man. Does abdominal ultrasound show bladder cancer. Men establish abdominal aortic aneurysms far more usually than ladies do.
Being white. People that are white are at higher threat of stomach aortic aneurysms.
Family history. Having a family history of stomach aortic aneurysms enhances the danger of having the problem.
Other aneurysms. Having an aneurysm in an additional huge capillary, such as the artery behind the knee or the aorta in the chest (thoracic aortic aneurysm), may increase the threat of an stomach aortic aneurysm.
Does abdominal ultrasound show bladder cancer. If you’re at threat of an aortic aneurysm, your medical professional may recommend various other procedures, such as medicines to decrease your blood pressure and also alleviate anxiety on weakened arteries.
Complications.
Tears in one or more of the layers of the wall of the aorta (aortic dissection) or a fractured aneurysm are the main issues. A rupture can cause dangerous internal bleeding. As a whole, the bigger the aneurysm and the quicker it grows, the higher the danger of rupture.
Symptoms and signs that an aortic aneurysm has ruptured can include:
- Sudden, intense and relentless abdominal or back pain, which can be called a tearing feeling.
- Low high blood pressure.
- Quick pulse.
- Aortic aneurysms also raise the risk of developing embolism in the location. If a embolism breaks loose from the within wall surface of an aneurysm and blocks a blood vessel in other places in your body, it can trigger pain or block blood flow to the legs, toes, kidneys or stomach organs.
Avoidance.
To stop an aortic aneurysm or keep an aortic aneurysm from aggravating, do the following:
- Don’t smoke or utilize tobacco products. Given up cigarette smoking or chewing cigarette and also stay clear of secondhand smoke. If you require aid stopping, speak to your medical professional concerning medicines and treatments that might help. Does abdominal ultrasound show bladder cancer.
- Eat a healthy and balanced diet plan. Concentrate on consuming a selection of fruits and vegetables, whole grains, poultry, fish, and low-fat milk products. Stay clear of saturated and trans fats as well as limit salt.
- Keep your blood pressure as well as cholesterol in control. If your physician has actually recommended drugs, take them as advised.
- Get regular exercise. Try to obtain at the very least 150 minutes a week of moderate cardiovascular task.
Atrial Fibrillation (AFib) – Does Abdominal Ultrasound Show Bladder Cancer
A 6-lead electrocardiogram (EKG) is carried out by positioning sensing units on the arms as well as legs to screen for Atrial Fibrillation. Does abdominal ultrasound show bladder cancer. AFib can bring about embolism, stroke, and also heart failure, and various other heart-related issues.
Atrial fibrillation (A-fib) is an irregular and also typically extremely quick heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib boosts the danger of stroke, heart failure as well as various other heart-related difficulties.
Throughout atrial fibrillation, the heart’s top chambers (the room) beat chaotically and also irregularly – out of sync with the reduced chambers (the ventricles) of the heart. For many people, A-fib might have no signs and symptoms. Does abdominal ultrasound show bladder cancer. A-fib might create a quickly, pounding heartbeat (palpitations), shortness of breath or weak point.
Episodes of atrial fibrillation may come and go, or they may be relentless. Although A-fib itself normally isn’t life threatening, it’s a severe clinical problem that needs proper therapy to avoid stroke.
Treatment for atrial fibrillation might consist of drugs, treatment to reset the heart rhythm and catheter treatments to obstruct defective heart signals.
A individual with atrial fibrillation may additionally have a relevant heart rhythm trouble called atrial flutter. Atrial flutter is a different arrhythmia, the therapy is fairly similar to atrial fibrillation.
Signs and symptoms.
Some individuals with atrial fibrillation (A-fib) do not see any kind of signs. Does abdominal ultrasound show bladder cancer. Those who do have atrial fibrillation symptoms may have signs and symptoms such as:.
- Feelings of a quickly, trembling or battering heart beat (palpitations).
- Chest pain.
- Wooziness.
- Fatigue.
- Impaired thinking.
- Minimized capacity to workout.
- Lack of breath.
- Weak point.
Atrial fibrillation may be:
Periodic (paroxysmal atrial fibrillation). Some individuals with occasional A-fib demand treatment.
Relentless. With this kind of atrial fibrillation, the heart rhythm does not return to regular by itself. If a individual has A-fib signs, cardioversion or therapy with drugs might be made use of to recover and also maintain a normal heart rhythm.
Enduring consistent. This type of atrial fibrillation is continuous and also lasts longer than 12 months.
Long term. Does abdominal ultrasound show bladder cancer. In this sort of atrial fibrillation, the uneven heart rhythm can not be recovered. Medications are needed to regulate the heart rate as well as to avoid embolism.
Causes.
To recognize the sources of A-fib, it may be helpful to recognize exactly how the heart normally beats.
The regular heart has four chambers – 2 upper chambers ( room) and also two lower chambers (ventricles). It produces the signal that starts each heartbeat.
In a routine heart rhythm:
- The signal travels from the sinus node with both upper heart chambers (atria).
- The signal goes through a path between the upper and lower chambers called the atrioventricular (AV) node.
- The activity of the signal creates your heart to squeeze (contract), sending out blood to your heart as well as body.
- In atrial fibrillation, the signals in the upper chambers of the heart are disorderly. As a result, the upper chambers shake (quiver). The AV node is after that pounded with signals trying to get through to the lower heart chambers (ventricles). This causes a fast and irregular heart rhythm.
The heart price in atrial fibrillation might vary from 100 to 175 beats a min. The normal range for a heart rate is 60 to 100 beats a min.
Causes of atrial fibrillation.
Issues with the heart’s framework are one of the most usual cause of atrial fibrillation. Does abdominal ultrasound show bladder cancer. Possible sources of atrial fibrillation consist of:.
- Coronary artery disease.
- Heart attack.
- Heart defect that you’re born with (congenital heart defect).
- Heart shutoff troubles.
- High blood pressure.
- Lung illness.
- Physical stress because of surgical treatment, pneumonia or other health problems.
- Previous heart surgery.
- Issue with the heart’s all natural pacemaker (sick sinus syndrome).
- Rest apnea.
- Thyroid disease such as an over active thyroid (hyperthyroidism) and various other metabolic inequalities.
- Use of energizers, consisting of specific drugs, caffeine, tobacco and also alcohol.
- Viral infections.
Some individuals that have atrial fibrillation have no well-known heart problems or heart damage.
Danger variables. Does abdominal ultrasound show bladder cancer.
Things that can enhance the danger of atrial fibrillation (A-fib) consist of:.
Age. The older a individual is, the greater the threat of establishing atrial fibrillation.
Heart disease. Anybody with heart disease– such as heart valve issues, congenital heart disease, congestive heart failure, coronary artery condition, or a history of heart attack or heart surgery– has actually an raised danger of atrial fibrillation.
Hypertension. Having hypertension, especially if it’s not well controlled with lifestyle modifications or medications, can raise the danger of atrial fibrillation.
Thyroid disease. In some people, thyroid troubles may cause heart rhythm troubles (arrhythmias), consisting of atrial fibrillation.
Various other persistent wellness conditions. Individuals with specific chronic conditions such as diabetes mellitus, metabolic disorder, chronic kidney condition, lung disease or sleep apnea have actually an raised threat of atrial fibrillation.
Consuming alcohol. For some people, consuming alcohol can trigger an episode of atrial fibrillation. Binge alcohol consumption further rises the threat.
Obesity. Does abdominal ultrasound show bladder cancer. Individuals who have obesity go to higher danger of creating atrial fibrillation.
Family history. An boosted risk of atrial fibrillation occurs in some households.
Difficulties.
Blood clots are a unsafe complication of atrial fibrillation that can bring about stroke.
In atrial fibrillation, the disorderly heart rhythm can create blood to accumulate in the heart’s upper chambers (atria) and kind clots. Does abdominal ultrasound show bladder cancer. If a embolism in the left top chamber (left atrium) breaks devoid of the heart location, it can take a trip to the brain and create a stroke.
The risk of stroke from atrial fibrillation raises as you age. Other wellness conditions also might increase your risk of a stroke because of A-fib, consisting of:.
- High blood pressure.
- Diabetes mellitus.
- Heart failure.
- Some valvular cardiovascular disease.
- Blood slimmers are generally recommended to avoid embolism and also strokes in people with atrial fibrillation.
Prevention.
Healthy and balanced way of life choices can decrease the risk of cardiovascular disease as well as may stop atrial fibrillation. Does abdominal ultrasound show bladder cancer. Right here are some basic heart-healthy tips:
- Eat a healthy diet plan.
- Get routine exercise and maintain a healthy and balanced weight.
- Do not smoke.
Avoid or limit alcohol and also caffeine. - Manage stress and anxiety, as intense stress and anxiety and also temper can create heart rhythm problems.
Osteoporosis Risk – Does Abdominal Ultrasound Show Bladder Cancer
An ultrasound is done to measure the shin bone for unusual bone mass density. Does abdominal ultrasound show bladder cancer. This can help evaluate the threat of osteoporosis, a condition where bones end up being weak as well as brittle.
Weakening of bones triggers bones to become weak and also fragile – so fragile that a fall or even light anxieties such as bending over or coughing can trigger a fracture. Osteoporosis-related fractures most typically occur in the hip, wrist or back.
Weakening of bones affects males and females of all races. White as well as Asian females, particularly older ladies that are previous menopause, are at greatest risk. Medications, healthy and balanced diet regimen as well as weight bearing workout can help prevent bone loss or strengthen already weak bones.
Signs.
There usually are no signs and symptoms in the onset of bone loss. As soon as your bones have actually been weakened by osteoporosis, you may have indicators and also signs and symptoms that include:
- Back pain, brought on by a fractured or fell down vertebra.
- Loss of elevation with time.
- A stooped position.
- A bone that breaks far more conveniently than anticipated.
Reasons.
Comparing the inside of a healthy and balanced bone with one that has actually ended up being porous from osteoporosis.
Weakening of bones deteriorates bone.
Just how likely you are to establish osteoporosis depends partly on how much bone mass you acquired in your youth. Peak bone mass is partly inherited and also differs additionally by ethnic group. The greater your peak bone mass, the even more bone you have “in the bank” and also the less likely you are to establish weakening of bones as you age.
Threat elements.
A variety of elements can boost the chance that you’ll establish weakening of bones– including your age, race, way of living selections, and also clinical problems and therapies. Does abdominal ultrasound show bladder cancer.
Stable risks.
Some threat aspects for weakening of bones run out your control, consisting of:
- Your sex. Ladies are far more most likely to create weakening of bones than are males.
- Age. The older you get, the higher your danger of osteoporosis.
- Race. You’re at biggest risk of weakening of bones if you’re white or of Asian descent.
- Family history. Having a parent or brother or sister with weakening of bones places you at greater danger, especially if your mommy or dad fractured a hip.
- Body framework size. Males and female who have small body frames often tend to have a greater threat because they could have less bone mass to draw from as they age.
- Hormonal agent levels.
Weakening of bones is much more usual in people who have excessive or too little of certain hormones in their bodies. Examples consist of:
Sex hormones. Decreased sex hormonal agent levels tend to compromise bone. The fall in estrogen degrees in ladies at menopause is just one of the greatest threat elements for establishing weakening of bones. Treatments for prostate cancer that decrease testosterone levels in males and therapies for breast cancer cells that reduce estrogen degrees in ladies are most likely to accelerate bone loss.
Nutritional aspects.
Osteoporosis is more likely to take place in people that have:
Reduced calcium intake. A lifelong lack of calcium contributes in the growth of weakening of bones. Low calcium intake contributes to diminished bone thickness, very early bone loss and an enhanced risk of fractures.
Eating disorders. Badly limiting food intake and being underweight compromises bone in both men and women.
Lasting use of oral or infused corticosteroid medicines, such as prednisone as well as cortisone, disrupts the bone-rebuilding process. Does abdominal ultrasound show bladder cancer. Osteoporosis has additionally been associated with medicines used to fight or prevent:
- Seizures.
- Gastric reflux.
- Cancer.
- Transplant denial.
- Clinical problems.
The risk of osteoporosis is greater in individuals who have certain medical issues, including:.
- Celiac disease.
- Inflammatory digestive tract illness.
- Kidney or liver disease.
- Cancer cells.
- Numerous myeloma.
- Rheumatoid joint inflammation
- Way of living options.
Some bad habits can enhance your danger of weakening of bones. Instances include:
Less active lifestyle. Individuals who invest a lot of time resting have a higher danger of weakening of bones than do those who are much more active. Any type of weight bearing workout and activities that advertise balance and good position are useful for your bones, yet walking, running, leaping, dancing as well as weight training appear particularly handy.
Too much alcohol usage. Does abdominal ultrasound show bladder cancer. Routine intake of more than 2 alcohols a day enhances the danger of osteoporosis.
Cigarette usage. The exact role tobacco plays in weakening of bones isn’t clear, however it has actually been shown that tobacco usage adds to weak bones.
Difficulties.
How osteoporosis can cause vertebrae to crumple and collapse.
Compression fractures.
In many cases, back fractures can happen even if you have not dropped. The bones that make up your spinal column (vertebrae) can weaken to the point of collapsing, which can result in pain in the back, shed height and a hunched ahead position.
Avoidance.
Good nourishment as well as routine exercise are necessary for maintaining your bones healthy and balanced throughout your life.
Calcium.
Men and women between the ages of 18 as well as 50 demand 1,000 milligrams of calcium a day. This day-to-day quantity enhances to 1,200 milligrams when ladies turn 50 as well as males transform 70.
Excellent resources of calcium consist of:
- Low-fat dairy products.
- Dark environment-friendly leafy {vegetables| veggies
- Canned salmon or sardines with bones.
- Soy items, such as tofu.
- Calcium-fortified cereals and orange juice.
The Health and Medicine Division of the National Academies of Sciences, Engineering, as well as Medicine recommends that complete calcium intake, from supplements and also diet regimen incorporated, need to disappear than 2,000 milligrams daily for people older than 50.
Vitamin D.
Vitamin D improves the body’s capability to absorb calcium and enhances bone health in various other methods. Does abdominal ultrasound show bladder cancer. Individuals can obtain some of their vitamin D from sunshine, yet this may not be a great resource if you stay in a high latitude, if you’re housebound, or if you regularly make use of sun block or prevent the sun because of the risk of skin cancer cells.
Dietary sources of vitamin D consist of cod liver oil, trout and also salmon. Numerous sorts of milk as well as cereal have been fortified with vitamin D.
Most individuals need at least 600 global units (IU) of vitamin D a day. That suggestion boosts to 800 IU a day after age 70.
Individuals without other sources of vitamin D and also especially with minimal sunlight direct exposure might require a supplement. A lot of multivitamin products have between 600 and 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is secure for lots of people.
Workout.
Exercise can assist you build strong bones as well as sluggish bone loss. Does abdominal ultrasound show bladder cancer. Exercise will benefit your bones anytime you start, however you’ll gain the most benefits if you start exercising regularly when you’re young and continue to work out throughout your life.
Combine stamina training workouts with weight-bearing and equilibrium workouts. Stamina training aids strengthen muscles and bones in your arms and upper back. Weight-bearing workouts – such as walking, jogging, running, stairway climbing, missing rope, skiing and also impact-producing sporting activities– influence mostly the bones in your legs, hips and reduced spine. Equilibrium workouts such as tai chi can lower your danger of dropping especially as you age.
NEXT >> Does Abdominal Ultrasound Show Bladder Cancer