Académique Documents
Professionnel Documents
Culture Documents
IVP
What is an Intravenous Pyelogram (IVP)?
What are some common uses of the procedure?
How should I prepare for the procedure?
What does the equipment look like?
How does the procedure work?
procedure?
Who interprets the results and how do I get
How is the procedure performed?
What will I experience during the them?
What are the benefits vs. risks?
Renal Trauma
Avulsionattheureteropelvicjunctionisamajorrenalinjuryoften
associatedwithalargeurinoma.ThisisconsideredagradeVinjury.
Theshatteredkidneycontainsmultipledeeplacerationsoftenextending
intothecollectingstructuresandessentiallyseparatingthekidneyinto
multiplefragments.ThisisagradeVinjury.
ThisisagradeIVinjuryinwhichthelacerationextendsintothe
collectingsystem.Thisresultsinurineextravasationaswellas
hematoma.
Alacerationgreaterthan1cminlength,butnotextending
intothecollectingstructuresisagradeIIIlesion.Hematoma
isoftenpresent,butnoextravasationofurine.
Aparenchymallacerationlessthan1cminlengthisconsideredagrade
IIlesion.Varyingdegreesofperinephrichematomamaybepresent.
Aperirenalhematomawithoutobviouslacerationisconsideredagrade
IIlesion.
Asubcapsularhematomawithoutapparentlacerationisconsidereda
gradeIlesion.
Majorinjurytotherenalhilarvesselswithdevascularizationofthe
kidneyisagradeVinjury.
Voiding Cystourethrogram (VCUG)
performed:
insertacatheterintotheurethra
Instilledcontrastmaterialintothebladder
throughthecatheter
thecatheterisremovedafterthebladderfull.
X-raysaretakenbefore,duringandafterfilling
ofthebladder.Whilethepatientvoids,
additionalx-raysaretaken.
Usefulness
helpfulindetectingabnormalitiesofthebladder
andurethra.
Refluxisdetectedifcontrastisseentoflowin
retrogradefashionuptheuretersfromthebladder.
Ifthebladderisruptured,extravasationof
contrastwillbeseenoutsidethebladderinthe
pelvisorabdomen.
Obstructions or strictures of the urethra(such
asposteriorurethralvalves)canbeseenonthex-
raystakenduringvoiding.
Normal Voiding C U
Reflux
a- 10 year old girl had UTI
Posterior Urethral Valves Seen on Voiding
Cystourethrogram (VCUG)