imaging of the urinary system Flashcards

1
Q

what structures are nearby the right kidney

A
  • colon ventrally
  • dorsally lumbar muscles
  • liver craniocentrally
  • right ovary/small intestine caudoventrally
  • duodenum ventrolateral
  • cadual vena cava/ right adrenal gland medial
  • ribs laterally
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2
Q

where is the right kidney palpable

A

tucked under the last rib on the right

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3
Q

where is the left kidney palpable

A

just behind last rib on left

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4
Q

what organs are adjacent to the left kidney

A
  • small intestines ventrally
  • lumbar muscles dorsally
  • spleen cranial
  • left ovary caudal
  • aorta/left adrenal gland medial
  • colon ventrolateral
  • bodywall laterally
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5
Q

outline the path of the ureters

A
  • cranial portions of the ureters run through retroperitoneal space lateral to the great vessels (aorta and CVC)
  • run briefly through the peritoneum towards the bladder
  • enter bladder at region of trigone
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6
Q

where will you find the bladder to palpate

A

3rd/4th nipples

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7
Q

the bladder is adjacent to which organs

A
  • body wall ventrally
  • uterus/colon dorsally
  • small intestines cranially
  • prostate/pelvis caudally
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8
Q

describe the route of the tom cat male urethra

A

passes through the prostate and exits pelvic canal caudally
makes a a sharp turn ventrally before entering the penis

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9
Q

which views should be taken to assess the urinary tract radiographically

A
  • both laterals
  • ventrodorsal
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10
Q

where do you collimate or centre radiographs of the urinary system

A
  • laterally to skin edges
  • cranially to xiphoid
  • caudally to skin edge (urethra)
  • centre to caudal edge of lest rib
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11
Q

are the kidneys more separated on right or left lateral rad

A

right

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12
Q

how long should kidneys be

A

2.5-3.5 x length of L2 in the dog
2-3x in cats

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13
Q

where should the right kidney be located on rad

A

cranial pole at T13-L1 in dog
L1-L4 in cat

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14
Q

what view

A

frontal

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15
Q

what view

A

sagittal - ventral to dorsal

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16
Q

what view

A

transverse

17
Q

describe the appearance of the renal cortex on US

A
  • evenly granular
  • hypoechoic/isoechoic to the liver in dogs
  • often more echogenic in cats
18
Q

describe the appearnce of the renal medulla on ultrasound

A
  • hypoechoic to cortex but slightly hyperechoic to fluid
  • look for a good corticomedullary definition
19
Q

describe the appearance of the renal pelvis and calyxes

A

white explosion
recognised in the normal kidney by echogenic peri-pelvic fat
pelvis/ureters more obvious if distended with hypoechoic fluid

20
Q

what should be evaluated on US of the bladder

A
  • trigone
  • wall thickness
  • bladder contents
21
Q

what are the 3 layers of the bladder visible on US

A
  • inner mucosal interface = hyperechoic
  • muscle layer = hypoechoic
  • outer serosal layer = hyperechoic