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Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
Urinary system 1
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Urinary system 1

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Transcript

  • 1. Advance Radiographic Technique
  • 2. Urinary tract investigations I.V.U/ 1 Retrograde pyelogram/ 2 Antegrade/ 3 Cystogram/ 4 Urethrogram/ 5 MCUG/ 6 Angiography/ 7
  • 3. Anatomy of the urinary system two kidneys/ 1 two ureters/ 2 urinary bladder + urethra/ 3
  • 4. Anatomy of the urinary system
  • 5. Anatomy of the urinary system
  • 6. (Intravenous urography (IVU Contrast examination for urinary tract
  • 7. Indications a. Congenital b. Acquired
  • 8. Contra indication a. Absolute contra indication b. Relative contra indication
  • 9. Contrast media Urographin/ 1 Omnipaque/ 2 Others/ 3
  • 10. Patient preparation Caster oil/ 1 Disflyteal/ 2 Eucarbon/ 3 light diet/ 4 patient fasting at least 4hrs before the / 5 procedure
  • 11. Before to start the procedure Check the ultrasound/ 1 report Check the blood/ 2 urea
  • 12. Before to start the procedure The patient should void just before the :examination for the following two reasons a bladder that is too full could rupture, / 1 especially if compression is applied early .in the exam urine already present in the bladder / 2 .dilutes the contrast medium
  • 13. Procedure of routine normal :IVU plain film/ 1
  • 14. Procedure of routine normal :IVU Insertion of butter fly* Injection of contrast* media
  • 15. Procedure of routine normal :IVU Immediate film/ 2 ((nephrogram film
  • 16. Procedure of routine normal :IVU Early excretion film (5/ 3 (min
  • 17. Procedure of routine normal :IVU Compression*
  • 18. Procedure of routine normal :IVU :Compression is contraindicated After recent abdominal surgery. After renal trauma. If there is a large abdominal mass. When the 5 min film shows already. distended calyces Patient with IVC filter.
  • 19. Procedure of routine normal :IVU min film for p.c.s & 10/ 4 upper ureter
  • 20. Procedure of routine normal :IVU Release film to show/ 5 the whole urinary tract including the full bladder
  • 21. Procedure of routine normal :IVU full bladder film/ 6
  • 22. Procedure of routine normal :IVU post micturition film/ 7
  • 23. IVU with less films which means less radiation (IVU in pregnancy (not early pregnancy / 1 IVU in follow up/ 2 IVU in emergency/ 3 Some time in children
  • 24. IVU with less films which means less radiation Plain film* min film 20 – 15* No compression. No compression and no preparation in . .pregnancy and emergency
  • 25. Extra films/ extra radiation .IVU in renal hypertension/ 1 obstruction or stricture ( we take delayed films) / 2 :after 1/2hr 1hr 2hrs 6hrs 12hrs . If no function we take retrograde pyelography
  • 26. Retrograde pyelograpgy If the IVU fails to show P.C.S and upper .ureter
  • 27. Retrograde pyelograpgy Contra indication .Infection of the lower UT. 1 .Large vesical or urethral stone . 2
  • 28. Retrograde pyelograpgy Contrast media Diluted water soluble CM
  • 29. Retrograde pyelograpgy Procedure :The Pt comes with catheter Plain KUB to show the position of the . 1 .catheter and radiopaque calcification (injection of the CM (under screening * .Pt supine head down to fill the PCS . 2 Raised Pt head and take radiograph for . 3 .ureter and pulling the catheter out
  • 30. Retrograde pyelograpgy
  • 31. Retrograde pyelograpgy
  • 32. CASES

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