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					                                    Imaging
Modality        Test                              Disorder
XR              IVU / IVP urogram                 Classic Reflux
                                                  BPH w/ J-hook or S.O.L.
                                                  Elevated bladder causes
                                                  J-hook (pushes up on
                                                  pelvic arch)
                                                  Tx: lithotripsy
                KUB
                Cystogram                         Lower tract obstruction
                Urethrogram                       Lower tract STRICTURE
                Voiding Cystourethrogram (VCU)    Children
                                                  Reflux or posterior valves
                Lymphangiogram                    Tumor status
                                                  Prostate
                Retrograde Ureterogram            DDx: prostatic ureathra
                                                  v. stricture
                                                  Dx: non-filling ureter
                                                  Distended bladder
                                                  ↓ ganglion → ↓ peristalsis
                                                  (DDx: 1’ obstruction v.
                                                  hydronephrosis)
                Arteriogram (MRI too)             RCC
US              Kidneys                           Cysts, stones,
                                                  hydronephrosis, RCC,
                                                  obstructing collecting
                                                  system, draw abscesses,
                                                  can see capsule of Ca
                Prostate                          Used with FNA
                Penis                             Vascular / doppler US
CT              Kidneys                           Renal insufficiency s/
(LN are too                                       contrast
small to see                                      Laproscopic Tx (embolize
with CT – use
lymphangio-
                                                  tumor)
gram)                                             Horseshoe Kidney
                                                  (obstruction or ureter
                                                  Xover)
                                                  -Tx: incise isthmus, rotate
                                                  kidneys, reimplant ureter
                                                  @ uteropelvic jctn
                                                  hypOperfusion
                                                      - tx: revascularize
                                                  Angiomyolipoma
                                                  (common)
MRI             Same as CT                        RCC in renal vein


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                                                       Bladder Ca


Isotopic      Renal Scans                              Intrauteral hydrophrosis
                                                       with parenchymal
                                                       destruction
                                                       Pyelonephritis
                                                       Stricture or stone

Eval of       Renal angiography                        Adrenal adenoma with
Trauma                                                 laking
              Ureteral stent                           To bypass obstruction or
              -Double Pigtail: drain kidney  bladdr   after stone-bath
              -encrustation: stent in too long
              Abnormal contrast material               Abscess
                                                       Tx: drain percutaneously
              Ectopic uterocele                        UnTx’d = massive
                                                       hydroureterocoele
Surgical Tx   Open Surgery
              Transurethral Prostate Surgery           Gold Standard
              (TURP)
              Laser + mini terpet                      BPH
              TULIP                                    Laser
              TUNA                                     Thermal waves
              Extra-corporeal Shock Wave
              Lithotripsy (ESWL)
              “Stone Bath”
              Prostatron                               Shink prostate
                                                       Complication: capsular
                                                       rupture d/t heat + fistula
                                                       formation




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posted:10/31/2011
language:English
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