Duke PA Nephrology Imaging
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| show | KUB
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| show | evaluat bowel obstruction, detect free intraperitoneal gas, follow up of chronic renal calculi
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| tomograph | show 🗑
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| When do you do a retrograde pyelogram | show 🗑
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| show | in children and pregnant women
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| show | urinary obstruction, follow-up renal transplant complications, image guided biopsy
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| show | evaluate renal function
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| show | suspected vesicoureteral reflux, post surgery/post traumatic complications
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| show | the urologist can visualize and intervene at the same time
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| show | don't use contrast
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| indications fro MRI | show 🗑
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| Imaging modality of choice for initial assessment of renal masses, cysts | show 🗑
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| show | CT
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| show | radiograph
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| show | CT
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| When is imaging appropriate in adults with urinary tract infection | show 🗑
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| show | Imaging probably worthwhile with first febrile UTI if: 1) Pt has questionable follow-up, 2) Does not respond promptly to tx (febrile > 72 h), 3) Persistently abnormal voiding pattern (dribbling),4) Abdominal mass
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| some calculi may not be visible on radiographs, but almost all are seen on | show 🗑
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| 50% of __ are found incidentally on imaging for other reasons | show 🗑
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| show | Hypervascular renal cortical mass; heterogeneous, enhancing, multilobular; hemorrhage and necrosis; coarse Ca2+ Mets to lungs, mediastinum, liver, and bone (lytic)
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| pediatric vesicoureteral reflux | show 🗑
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| show | Opacify blood vessels, organs, GU tract for radiation-based modalities (CT, IVP)
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| show | allergy, nephrotoxicity
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| show | MRI
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| indication for gadolinium-based contrast | show 🗑
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| show | nephrogenic systemic fibrosis, unkown effects on fetus, allergies are extraordinarily rare
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| spiral CT without contrast is the same thing as | show 🗑
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| show | white
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| stones and bones have high __ | show 🗑
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