Embedded Files
Indications
Indications
Renal
Flank pain
Hydronephrosis
Calculi
Cysts
Hematuria
Hydronephrosis
Calculi
Cysts
Trauma
Free fluid
Abnormal appearance of kidneys
Bladder
Suspected bladder distension
Urinary retention
Acquisition
Acquisition
Enter patient’s information into machine
Supine position
Curvilinear Probe
RENAL
RENAL
Leading edge toward head
Probe parallel to floor
Sweep from anterior axillary line to posterior axillary line
Rotate leading edge toward bed to angle between ribs
Left kidney is more cephalad and posterior than right kidney
Gerota’s fascia: hyperechoic
Surrounds kidney, adrenal gland & perinephric fat
Renal parenchyma
Cortex: hypoechoic
Medulla: hypoechoic with anechoic pyramids
Renal sinus:
Hyperechoic, anechoic calyces and renal pelvis (beginning of ureter)
BLADDER
BLADDER
Transverse:
Leading edge toward right
Hand on top of probe
Fan caudally into true pelvis
Sagittal
Leading edge toward head
Rock probe toward leading edge (direct beam into true pelvis)
Bladder volume:
Obtain transverse image
Select dual screen then update
Rotate leading edge toward head and center sagittal image
Hit freeze
Hit calculate and select volume
Measure AP diameter on transverse image and save
Measure width (leading edge to receding edge) on transverse image and save
Measure height (leading edge to receding edge) on sagittal image and select save
Interpretation and Medical Decision Making
Interpretation and Medical Decision Making
Normal
Hydroneprosis
Renal Cyst
Free Fluid
Urinary Retention
Bladder mass
Moderate Bilateral Hydro:
Severe Left Hydro:
Why does this patient have hydro?
Obstructing clot in the bladder!
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