Imaging Studies of the GUT Flashcards
Function as interim kidneys for approximately 4 weeks, until the permanent kidneys develop
Mesonephros
- The pronephros regresses completely during
End of 4th Week
- the mesonephros degenerates during
End of 1st trimester (3rd month)
- This structure induces the development of the definitive kidney
Ureteric bud
- This structure forms the definitive kidney. It appears in the 5th week of development and becomes functional around 12th week
Metanephros
- The 2 components of metanephric system
Collecting system and Excretory System
- This system is derived from the Ureteric bud. It dilates to create the ureter, renal pelvis, major and minor calyces and collecting tubules.
Collecting system
- This system is derived from the metanephric blastema which forms the kidney’s functional unit.
Excretory System
- The cloaca which is a common chamber for gastrointestinal and urinary waste will be divided into two parts by the uro – rectal septum during___.
4th – 7th week of development
- The urinary badder is initially drained by the ____ which will later become the _____
Allantois; Urachus
- This is the remnant of the Urachus
Median Umbilical Ligament
- Indications for KUB X – ray
Kidney stones
Abnormal calcifications
Renal agenesis
- Limitations of KUB X -ray
Renal outline may be obscured by bowel gas
Radiation exposure
No functional information
Retained barium from other procedures that may interfere with visualization
- Radiographic study of the renal parenchyma, pelvicalyceal system, ureters, and urinary bladder. Largely replaced by CT urography.
Intravenous Urography
- Indications of Intravenous Urography
Check for normal function of kidneys
Check for anatomical variants or congenital anomalies
Check the Course of the Ureters
Detect and Localize a Ureteric Obstruction (Urolithiasis)
Assess for synchronous upper tract disease in those with bladder transitional cell carcinoma
- Fluoroscopic study of the lower urinary tract in which contrast is introduced into the bladder via a catheter
Voiding Cystourethrography
- Grade and corresponding manifestation of VUR
Grade I – VUR into a non – dilated ureter
Grade II – VUR into the upper collecting system without dilation
Grade III – VUR into dilated ureter and/or blunting of calyceal fornices
Grade IV – VUR into grossly dilated ureter
Grade V – Massive VUR, with significant ureteral dilation and tortuosity and loss of the papillary impression
- In performing renal ultrasound these parameters should be look out for
Kidney Size
Location
Renal Outline
Corticomedullary Differentiation
- T or F. In a normal ultrasound, the cortex appears hyperechoic (bright) while the medulla appears hypoechoic.
T