Imaging Flashcards
Pyelonephritis or gynae issue suspected
US
Pregnancy
US or MRI
1st line test for renal colic
KUB
Definitive test for renal colic
CT non-contrast
Over 50 years with haematuria
CTU (upper)
Cystoscopy (lower)
Ureteroscopy
Less than 50 years with haematuria
US
Cystoscopy (lower)
CTU/MRU (upper)
1st line for renal mass
CT
1st line for simple renal cyst
US
Young/pregnancy with renal mass
MR with contrast
Pre-renal impairment
MR angiography (RAS)
Renal impairment
MR or US
Post-renal impairment
CT (obstruction) or US (hydronephrosis)
Painful scrotum
US
Epididymoorchitis looks on US
Hypervascular
Testicular torsion looks on US
Avascular
Painless scrotal swelling
US
Renal and ureteric trauma
CT
Urethral trauma
Urethrography
Call urologists
Bladder trauma
Cystography
CT Cystography
Phlebolith
Calcified clot - translucent focus in middle
Route of ureters
Pass inferiorly over psoas
Anterior to tips of lumbar transverse processes
Cross iliac bifurcation and enter pelvis
Pass posteromedially and enter posterior bladder
Where do stones settle?
Over Psoas
PUJ
VUJ
Pelvic brim
