Urologic Imaging Flashcards
1
Q
- What does KUB stand for?
- What kind of imaging and where?
- Used to identify what?
- Helps assess what in pediatric patients?
- Advantage?
A
- Kidney, Ureter, and Bladder (KUB)
- Plain frontal supine radiograph of the abdomen
- Used to identify stones
- Helps to assess constipation in pediatric patients
- Inexpensive
2
Q
IVP
- X-ray done with intravenous contrast to look at the what? 3
- Used for: ? 5
A
- kidneys, ureters, and bladder
2.
- Abdominal injury
- Bladder and kidney infections
- Hematuria
- Flank pain
- Tumors
3
Q
- IVP: risk?
- Patient will void when? 2
- A series of images will be taken at various time to look at what?
- What has replaced traditional IVP?
A
- Risk: Allergic reaction
- Patient will void before and after the study
- A series of images will be taken at various times to look at filtration
- CT IVP has replaced traditional IVP
4
Q
Ultrasound options? 3
A
- Renal
- Scrotal
- Prostate
5
Q
Renal ultrasound indications? 6
A
Renal
- The size of the kidneys
- Signs of injury to the kidneys
- Abnormalities present at birth
- Presence of blockage or kidney stones
- Complications of a urinary tract infection
- Cysts or tumors
6
Q
Scrotal Ultrasound indications?
5
A
Scrotal
- Looks at the size of the testicles
- To evaluate a mass or lump (cystic vs solid)
- Find a reason for pain
- Look at blood flow to the testicles
- Look for the location of undescended testis
7
Q
Prostate Ultrasound: Trans-Rectal Ultrasound (TRUS)
Used for what?
5
A
- Detect disorders within the prostate
- Measure the prostate
- Help diagnose the cause of a man’s infertility
- Evaluate prostate nodules: Needle biopsies
- Placement of needles for radiation
8
Q
VOIDING CYSTOURETHROGRAM (VCUG)
- What is it?
- Main indication for test?
- Other indications for test? 3
A
- An x-ray study of the bladder using fluoroscopy and contrast material
- Used to check for vesicoureteral reflux after a UTI
- Other reasons
- Bladder obstruction
- Abnormal urination with very high pressure within the bladder
- Incomplete bladder emptying
9
Q
RETROGRADE URETHROGRAM (RUG)
- More common in which pts?
- Helps diagnose what?
- Also used for? 3
A
- More commonly in male patients
- Helps diagnose urethral pathology from trauma or urethral strictures
3.
- Done for pre and post-op reconstruction of the urethra
- Can help identify urethral diverticulum and
- fistulas
10
Q
What is the gold standard to detect stones?
A
CT scan
11
Q
Renal Stone CT Scan
- Contrast?
- Detects what?
- Gives what information about the stone? 3
A
- No contrast dye is used
- Detects all types of stones
- Gives the exact
- shape,
- size, and
- location of the stone
12
Q
Drawbacks of Renal Stone CT scan? 2
A
Drawbacks
- Radiation exposure
- cost
13
Q
IVP
- Contrast?
- Evaluates what? 3
- Used for causes of what?
- Identifies what better than CT without contrast?
A
IVP
- Uses IV contrast dye
- Evaluates the
- collecting system,
- ureters
- bladder - Used for causes of hematuria
- renal tumors
14
Q
CT SCAN IVP
Drawbacks? 4
A
- Radiation exposure
- Cost
- Allergy to contrast dyes
- Renal disease
15
Q
RADIONUCLIDE IMAGING: Renal Scan
- Uses two different radiopharmaceutical?
- Looks at what? 3
- Used mainly by Urologist to evaluate what?
A
1.
- DTPA
- MAG3
2.
- blood supply,
- function, and
- excretion of urine from the kidney
3. hydronephrosis