Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Renal 13 Imaging
Maki Renal imaging
| Question | Answer |
|---|---|
| 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 |
Created by:
bcriss
Popular Medical sets