1. Chapter 14
Urinary System

2. Urinary System
(2) Kidneys
(2) Ureters
(1) Urinary Bladder
(1) Urethra

3. Kidney Function Urine production Removes nitrogenous waste
__________
Regulates water levels
Regulates ______________
Regulates electrolytes

4. Kidneys Retroperitoneal
Between iliac crest and xiphoid process __________
Left higher (usually)
___________(axial plane)

5. Blood Supply ______________ Renal Vein ____________
From abdominal aorta
Renal Vein
To IVC
____________
Renal artery and vein

6. Kidney Anatomy (Macroscopic)
Renal (Fibrous) Capsule
______________
Medulla
_______________
Renal Columns

7. Kidney Anatomy (Macroscopic)
________________
From Renal Papilla
Major Calyx
_______________
Ureter

8. Kidney Anatomy (Microscopic)
_____________
Urine production
Approx. ______________per kidney
Within _____ (blood supply) and ______ (pyramids)

9. Ureter Anterior to psoas major From ________to urinary bladder
_________ diameter

10. Ureter Constriction __________ Junction (UPJ) Pelvic Brim
Renal pelvis/ureter
Pelvic Brim
Crossing of iliac blood vessels
__________Junction (UVJ)
Ureter/bladder

11. Urinary Bladder Musculomembraneous 350-500 ml capacity
Stores and expels urine
ml capacity
3 openings (___________)
(2) ureters
(1) urethra

12. Bladder Locations Posterior to ____________ Female Male
Anterior to __________
Male
_________ to peritoneal cavity

13. IVU(P) Prep
NPO 8 hours
Bowel Prep
________prior to exam
___________

14. Prior to Injection Verify Patients with urinary catheter
Contraindications
Signed consent
Patients with urinary catheter
______________

15. IVU Imaging Scout Nephrogram Timed films RPO LPO Prone
Tomograms
Timed films
RPO
LPO
Prone
Upright Post Void

16. Scout, Timed, Prone _________ Timed imaged should _______________
15 min, 20 min, 30 min (radiologist control)

17. Nephrogram Taken ____________post injection
CR between iliac crest and xiphoid
Shows ___________of kidneys
Blood supply

18. RPO/LPO ____________Oblique CR at iliac crest and midline
RPO = ___ kidney in AP and ____ ureter unobstructed
LPO = ____kidney in AP and ____ureter unobstructed

19. Upright Post Void Allow the patient to void
___________
Patient upright and CR __________iliac crest
Entire bladder must be seen

20. Other Urinary System Exams
Retrograde Cystography
____________
Voiding Cystourethrogram
___________
Retrograde Urography
OR Procedure

21. Cystogram Urinary Bladder Imaging Done with radiologist
Insert urinary catheter (if not already placed)
Hang iodinated contrast on IV pole with extension tubing
Allow _________ to fill bladder

22. VCUG Bladder and Urethra Routine __________ set up
Remove catheter an image while the ____________

23. Retrograde Urography In OR with Urologist Post ___________
_________ insertion
________ placement
Other