Abdomen Part 3 Flashcards
should you be able to see the adrenal glands normally on a radiograph?
NO, you may only see them if there is mineralization, neoplasia, or enlargement
what is going on here bruh??
there is a mineralized adrenal mass. on the VD the mass is seen just left to the spine, and on the lateral, you can see a crescent shape opacity adjacent to the left kidney.
can you normally see the pancreas on a radiograph?
no!
point out the pancreas on this radiograph
what are some reasons why you would examine the kidneys radiographically?
- incontinence
- hematuria, polyruia, oliguria
- urolithiasis
- urethral obstruction
- abnormal on palpation
- test for renal function
behold the normal kidneys. which is which?
left kidney more caudal, right kidney more cranial
what are 4 reasons you could have a big kidney with normal shape and margination?
- compensatory hypertrophy
- round cell neoplasia
- hydronephrosis
- amyloidosis
what are 4 reasons you could have a large kidney with an irregular shape and margin?
- neoplasia
- hematoma/trauma
- cyst
- abscess
what are two reasons you would have a small kidney with an irregular shape and margin?
- end stage renal disease
- dysplasia
what are 4 reasons for a kidney that is normal size, but with irregular shape and margin?
- infarction
- abscess
- chronic pyelonephritis
- polycystic renal disease
what is going on here?
enlarged kidney, renal carcinoma
what is going on here?
there is one tiny kidney and one huge kidney: compensatory hypertrophy
what is going on here?
the kidneys, both, are enlarged. this is lymphoma
what is going on here?
one of the kidneys appears large and absnormally shaped, very circular, and there are small white opacities which are probably stones. this is hydronephrosis secondary to obstructive uropathy
when doing an excretory urogram, when should you examine each part of the urinary tract?
nephrogram-2mins
pyelogram-20mins
cystogram-40mins
what are 4 things you should do to preapre for an excretory urogram?
- correct any hydration deficits
- enemas (no poo poo in the way)
- fasting
- maintaining the IV catheter in case renal function declines due to the contrast medium (this is rare but can happen)