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KIDNEYS & BLADDER

GU Ultrasound Pearls & Pitfalls

  • Image the entire organ using a fanning motion. Don’t just go for one pretty static shot through the middle.
  • If you have a difficult time imaging the left kidney, have the patient hold their breath to bring the kidney more inferior.
  • Any abnormal findings should be confirmed with formal imaging.
  • Hydronephrosis is seen as a black or anechoic area in the center of the kidney and represents obstruction.
  • Because you have two kidneys, any questionable findings on side may benefit from a comparison view
  • Always take a look at the aorta. It’s essential to practice looking a normal anatomy and even more essential to pick up an aneurysm before it ruptures.
  • Don’t miss renal obstruction in the setting of urosepsis

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Want more educational images? Check out the ED Atlas on CD

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Renal and Bladder Ultrasound from the ED

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Normal Right Kidney

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Normal Left Kidney

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Normal Bladder

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Painless hydronephrosis, unsuspected, in a patient with urosepsis

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Massive Hydronephrosis: Congenital and asymptomatic

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Hydronephrosis with Intra-renal Caliculi

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Polycystic Kidney Disease

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Bladder Tumor

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Do you want a pocket reference that has essential material on ED Ultrasound as well as other imaging, labs, EKGs, procedures, risk management and more?

Then get Cornucopia Emergency Medicine

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