Maki Renal imaging
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What radiologic studies need contrast? | CT scan
Intravenous Pyelogram
MR Angiogram
🗑
|
||||
| Which studies have radiation? | X-ray
IVP
CT
🗑
|
||||
| Which studies don't have radiation? | Ultrasound
MRI
🗑
|
||||
| What is the most common renal mass and how do you find them? | Simple renal cysts (90% of all masses)
Seen on ultrasound as anechoic areas (smooth, round, black hole)
🗑
|
||||
| What is the most common renal cancer? | Renal adenocarcinoma
🗑
|
||||
| What does trauma to the kidney look like? | Blood extending out in to Gerota's fascia
There may be damage to the pancrease
🗑
|
||||
| Name, in order, the studies you order to look for kidney abnormalities. | Plain film X-ray
IVP (not so much)
CT scan (if looking for stones, don't use contrast)
Ultrasound
MRI
🗑
|
||||
| What are the contraindication for contrast use in IVP? | Hx of hypersensitivity
Combined renal and hepatic dz
Oliguria
Diabetes with renal insufficiency
Glucophage
🗑
|
||||
| How long does an IVP take? | 20 minutes
🗑
|
||||
| What does the kidney look like on ultrasound? | A football (long axis view)
🗑
|
||||
| What muscle do the kidneys travel next to? | The psoas
🗑
|
||||
| Name urine draining kidney anatomy going from proximal to distal. | (CIPU)
Calyx
Infundibulum
Pelvis
Ureter
🗑
|
||||
| What does a full column seen in IVP indicate? | Possible obstruction
🗑
|
||||
| True/False Larger stones cause more pain. | False
They cause less.
🗑
|
||||
| What organisms are staghorn calculi associated with? | Proteus
Klebsiella
🗑
|
||||
| If you suspect a calculi, list the imaging studies in order. | Abdominal X-ray
Renal CT
IVP
Renal Ultrasound
🗑
|
||||
| What does a renal cyst look like on CT? | No visible wall
Sharply marginated
Low density (0-10 H.U.)
🗑
|
||||
| What is the density of fat on CT? | -10 to -40
🗑
|
||||
| Where does renal cancer metastasize most often? | Lung, but also to the bone and brain.
🗑
|
||||
| What percentage of pts have metastasis at time of Dx? | About 1/3
🗑
|
||||
| What is a bear paw sign? | Seen on IVP as a sign of hydronephrosis
🗑
|
||||
| What is the range for normal kidney size? | Between 9am and 13cm
🗑
|
||||
| In a horseshoe kidney, where are they connected? | They are fused at the lower poles
🗑
|
||||
| What is the best way to visualize the adrenal glands? | Best imaged with CT
🗑
|
||||
| What does adrenal adenoma look like on CT? | Round, mass with Ct numbers <0
🗑
|
||||
| Name some causes of Renal lacerations. | MVA
Falls and fights
Contact sports
🗑
|
||||
| What is the mechanism of renal lacerations? | Direct blow compress the thorax and causes laceration by lower ribs
Accel/decel injuries can produce renal artery tears
🗑
|
||||
| What are some signs and symptoms with RL? | >95% hematuria
24% don't have hematuria
1-2% only have microhematuria
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bcriss
Popular Medical sets