Genitourinary Imagining Flashcards
What is a CT-IVP?
CT-intravenous pyelogram
What types of polycystic kidney disease are their? And who gets them?
Autosomal dominant - Adults
Autosomal recessive - Kids get this
What are some limitations of US renal artery doppler?
Obstructing organs/fat/air
Patient cooperation - patient must hold their breath
Patient body habitus
Calcified artery
Operator skill
What pathologies are suspected with an acute loss of renal function?
ATN
Renal vein thrombosis
Infection
Renal calculi
Do you see kidney stones on Xray?
90% of stones are radiopaque due to calcium
What is a nephrostomy?
Direct drainage of a renal calyx
In general, how do abscesses appear on CT?
Ring enhanced boarder
Hypodense contents
What retroperitoneal pathologies could obstruct both ureters?
Nodal metastasis
AAA
Fibrosis
How does a diabetic’s kidney appear on US?
Small and echogenic
What is a false/pseudoaneurysm?
One that doesn’t involve all three layers of the artery
What are the CT signs in renal colic?
Perinephric fat stringing
Hydronephrosis
Hydroureter
Nephromegaly
How does the echogenicity of the kidneys compare to the liver?
It is more hypoechogenic
What are the DDx for macroscopic haematuria in a 78 year old?
Infection
Neoplasia including renal cell carcinoma and transitional cell carcinoma
Stone disease
Nephritic syndrome
How do renal abscesses appear on US?
Hypoechogenic lesion
No shadowing
How do you manage a renal abscess?
US guided drainage
IV antibiotics
