Download presentation
1
Urinary System & IVP(U)
Chapter 14 Urinary System & IVP(U)
2
Urinary System 2 __________ 2 Ureters 1 __________ 1 Urethra
3
Kidneys Posterior Abdominal organs __________Organs
Between ________and ___________ T11/12 and L3
4
Kidneys In the ____ plane kidneys angled approx. _____
Suprarenal __________gland Moves with diaphragm.
5
Kidney Blood Supply Renal artery Renal vein From abdominal aorta
At rest _____ of the blood passes through kidneys. Renal vein _________
6
Kidney Function Produce urine which: _____________
Removes nitrogenous waste Regulates ______________ Regulates __________ balance and electrolyte levels And more..
7
Kidney Anatomy Macroscopic
__________ capsule – Outermost surface ___________ Under fibrous capsule Composed of renal pyramids Renal columns Cortex between renal pyramids
8
Kidney Anatomy Minor __________ Major _________ ____________
Convergence of renal pyramids opening at renal papilla Major _________ Off of minors. Collecting area. ____________ Off of major calyces and empty into ureter.
9
Nephron Microscopic Area of Urine production.
Approx. __________per kidney Within the ________ and ________
10
Ureter Transport urine from renal pelvis to bladder
___________diameter
11
Ureter Constriction __________ (UPJ) junction ________ brim
Renal pelvis to ureter ________ brim Iliac blood vessels cross ureters ___________ (UVJ) junction Ureter joins bladder
12
Urinary Bladder Musculomembranous sac that _______ urine for expulsion. 3 openings in the __________ 2 ureters 1 urethra Total bladder capacity ______________
13
Bladder locations Female Male
– Posterior to ___________and anterior to ________ Male – Posterior to _________and extends into _____________
14
IVP(U) Patient Prep Ideal NPO _________ _________prep
__________to the start of the exam
15
Prior to Injection Verify any contraindications to contrast.
Make sure a ___________ is aware you are injecting. __________ based on department protocol.
16
Prior to Injection If the patient has a urinary catheter ___________
Watch for __________
17
IVU Imaging Routine Scout Inject Nephrogram Tomograms**
10, 15, 20 min KUB RPO LPO Prone Upright Post Void
18
Scout and delayed films
Position as routine __________ Mark films to indicate _________ times
19
Nephrogram Taken ____________post injection
Center between _________and _______ process. Mid sagittal Done to show the ___________of Kidneys
20
Nephrotomograms If per protocol Center same as nephrogram
Typical cuts 8,9,10cm Shows kidneys at various levels
21
RPO ____________ Center at iliac crest and mid line (_______________)
Shows ______ kidney in AP Shows ______ureter unobstructed from spine
22
LPO ____________ Center at iliac crest and mid line (_______________)
Shows __________ kidney in AP Shows ________ ureter unobstructed from spine
23
Prone Position as per Prone Abdomen
24
Upright Post Void Have the pt void (strain)
Position as per KUB but _________________ _______________must be visualized Shows emptying of bladder and any residual stones.
25
Other Urinary System Imaging
Retrograde Cystography (_________) Voiding Cystourethrogram ____________ Retrograde ____________ OR Procedure
26
Cystogram Done to Image the ______________
Insertion of a Urethral Catheter (Foley) Bladder filled with Iodinated Contrast Usually ___________or more Extension tube from __________ to contrast Hung on IV pole. Allow __________bladder do not force.
27
VCUG Images the ______________ Following routine Cystogram
Catheter is _____________ and the pt is instructed ___________.
28
VCUG Under fluoro __________ is evaluated and images are taken.
Pt can be ___________________based on radiologist preference.
29
Retrograde Urography An _______________
Pt placed in modified ________ position. Urologist will insert a scope into the bladder. Then via a catheter contrast is injected into the ____________ Images are taken at urologist’s discretion. Typically __________
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.