radiology of the renal tract Flashcards

1
Q

How long are kidneys

A

10-12cm

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2
Q

At what age do kidneys increase in size till

A

20

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3
Q

What genders have larger kidneys

A

Males have slightly larger kidneys

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4
Q

What is the renal blood flow

A

20-25% of cardiac output
1200cc/min

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5
Q

How much do kidneys weigh

A

120-170g

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6
Q

How long are ureters

A

25-30cm long

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7
Q

What are the 3 points of narrowing of ureters

A

PUJ - at the renal pelvis
Pelvic brim - where it enters the pelvis
VUJ - where it enters the bladder

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8
Q

Where do the ureters enter the bladder

A

The ureteric orifices at the trigone at an angle to prevent reflux

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9
Q

What are the indications of renal imaging

A

Renal colic and renal stone disease
Haematuria
Suspected renal mass
Recurrent UTI
hypertension

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10
Q

What is renal colic

A

Sudden severe flank pain

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11
Q

What is IVU

A

Intravenous urogram

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12
Q

What is done if we don’t want to expose patient to radiation in imaging

A

MRU will be done instead of CTU

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13
Q

What are the advantages and disadvantages of plain films imaging

A

They are cheap and readily available but have low specificity when compared to CT and MRI
They also have radiation

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14
Q

What is pyelography

A

Injection of contrast straight into the ureters - this is done less now due to CT and MRIs

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15
Q

Why are ultrasounds not effective in specific parts of the urinary tract

A

They have poor visualisation of the ureters

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16
Q

What are the 3 types of isotope scan

A

DMSA
MAG3
Bone scan

16
Q

What is the imaging of choice for renal stones and tumours or investigations after haematuria

A

CT

17
Q

What does a DMSA look for

A

Renal scarring

18
Q

What does MAG3 look for

A

It assesses renal function and drainage

19
Q

What do bone scans (TC99 MDP) look for

A

Used to check for metastatic disease, often of prostate cancer

20
Q

What imaging modality of choice in staging of renal tumours

A

CT

21
Q
A