Urinary B TEST Flashcards
Anuria
No urine output
Glucose/ Glycosuria
Exertion of glucose into urine
Gross hematuria
Visible discoloration
Micro hematuria
Only detect via urinalysis
Oliguria
Little urine output
Micturition
Peeing
What does and Intravenous urography study evaluate
STRUCTURE & FUNCTION
Of Kidneys, ureters , bladder
How does and IVU work
IV- ICM filtered from blood by kidneys into the bladder
What are dietary and patient prep for IVU
Dietary: vary
Patient : in gown, pee too empty bladder so contrast isn’t diluted
What are indications of an IVU
Flank pain (kidney pains)
Hematuria
Obstruction
Kidney stones
-nephrolithiasis
- renal calculi
What images are needy for an IVU exam
Series of KUB’s
Post void image to check for proper emptying
Why has CT replaced most IVU exams
More diagnostic
Less patient dose
Increased cost
Why do you take a scout image for an IVU
- Locate kidneys
- Patient prep
- Find pathology
What position moves the RIGHT ureter away from the spine
30 degrees RPO
30 degree moves the down side ureter away from the spine
What does
What does the post void IVU show
FUNCTION AND STRUCTURE
Of how well the bladder empties
10 degree caudad angle
2 inches below ASIS
Throw symphysis down
How would you conduct an IVU on a pregnant woman
Limit images taken
- just want to visualize ureters
What does a CYSTOGRAM evaluate
Then STRUCTURE of the bladder
Size & shape
Reflux into ureters
What is patient prep for a CYSTOGRAM
have patient pee to empty bladder
What contrast do you use for a CYSTOGRAM
WS ICM
Through a foley
Ionic or non ionic
Cystografin- HOCM
Omnipaque - LOCM
IsoVue- LOCM
How does contrast get into the bladder
Its drains by GRAVITY
NEVER should be administered under pressure
What are the views needed to see the UVJ behind the blades for a CYSTOGRAM
AP
What does a LPO/RPO show on a CYSTOGRAM
The UPSIDE UVJ
45-60 degree rotation
How do you take a lateral CYSTO image
CR 2 inches posterior to pubis
What is followed by a CYSTOGRAM
Voiding cysto urethrogram
VCUG
What does a VCUG exam
STRUCTURE AND FUNCTION of bladder and urethra
Voiding shows how well the bladder empties & structure of urethra
How do you want a male positioned for an VCUG
30 degrees RPO
What does a RETROGRADE UROGRAPHY evaluate
Structure of ureters
-obstruction
- patency
Often in OR setting while or sedated
What kind of contrast is used for RETROGRADE
WS-ICM infused to determine patency of ureter before & after removing stones
HOCM
LOCM
What is the catheter shaped liked used for a RETROGRADE
pigtail
What does an AP PYELOGRAM show
AP view of the kidneys only
What does an AP Ureterogram show
Ureters only
What exams show structure
CYSTOGRAM
RETROGRADE
What exams show STRUCTURE & FUNCTION
Voiding CYSTOGRAM
IVU
Define vesicoureteral reflux
When the valve at UVJ allows bacteria into into ureter and kidney
Define hydronephrosis
Swelling of kidney and ureter due to urinary pressure
Caused by reflux or obstruction
Renal calculi & nephrolithiasis
Kidney stones
Bladder diverticulum
Pouch from bladder wall
UTI
Inability to empty bladder
Fistula
Abnormal connection/ passageway between 2 organs or vessels
Kidney embryology
Proto kidney that starts as one in the pelvis
Ectopic kidney
In abnormal place or position
Horse shoe kidney
Proto kidney stays joined
Staghorn calculus
Entire renal pelvis filled by stones
Benign prostatic hyperplasia
Enlarged prostate
Difficult to pee
Frequent urination