Imaging Flashcards

1
Q

What lies anterior to the right kidney?

A

Hepatic flexure of the colon

and

the duodenum

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2
Q

What lies anterior to the left kidney?

A

Splenic artery

part of the spleen

transverse colon

pancreas

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3
Q

At what level is the renal hilum (both sides)

A

Left - L1

right- L1/L2

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4
Q

How are the renal artery and vein arranged?

A

Vein anterior

artery posterior

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5
Q

What are the weaknesses of ultrasound scans of the kidneys?

A

Limited characterisation of focal lesions

No licensed constrast medium

dependant on the skill of the examiner

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6
Q

What are the weaknesses of CT scans of the kidneys?

A

High does of radiation

risk of contrast induced nephropathy

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7
Q

What are the phases of CT contrast imaging ?

A

Pre contrast

Corticomedullary

Nephrographic

Excretory

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8
Q

What is pre-contrast CT best for?

A

No contrast is best to depict calculi

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9
Q

When is the corticomedullary phase?

A

25 - 70 seconds after IV injection of iodinated contrast

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10
Q

When is the nephrographic phase in a CT scan?

A

80-180 seconds after IV

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11
Q

When is the exretory CT phase?

A

5 - 15 minutes after IV injected

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12
Q

What is the closest fat layer to the kidneys and which is a wee bit further out?

A

Perirenal - around the kidney

Pararenal- around the perirenal fat

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13
Q

What is inbetween the pararenal and perirenal fat layers?

A

renal fascia

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14
Q

What is contrast induced nephropathy?

A

impairment in renal function which occours within 3 days of IV contrast administration

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15
Q

What are some of the risk factors for contrast induced nephropathy?

A

Dehydration

congestive heart failure

Acute MI

Nephrotoxic drugs

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16
Q

What must you remember to do before requesting a CT scan?

A

Check renal function

17
Q

how is contrast induced nephropathy reduced?

A

Hydrate before and after.

Use sodium bicarbonate instead of sodium cholride in order to induce urine alkalinization preventing oxygen free radicals

18
Q

What risk must you be aware of in MRI scans of the kindneys?

A

nephrogenic systermic sclerosis

19
Q

what percipitates severe systemic fibrosing disorder?

A

Gadolinium contraining contrast mediums

20
Q

What is the triangle made up of the ureters and urethras called?

A

Trigone

21
Q

What lies inferolaterally to the bladder?

A

obturator internus and levator muscles

22
Q

what lies anteriorly to the bladder/

A

pubic symphysis

23
Q

Where does the urethra origonate from?

A

bladder neck on the atero-inferior wall of the bladder