1.The kidneys may be difficult to image because of their proximity to the ribs and to air in the bowel. What can you do to optimise scanning? 2. What are the sonographic characteristics of the normal kidney? 3. How is hydronephrosis classified? 4. What are 2 causes of physiologic hydronephrosis? 5. What are 5 criteria Read more about Renal quiz[…]
Images Evy Panos A 32 year old man presents with right loin pain after a drinking binge. His friends have urged him to attend the Emergency Department because he always complains of right loin pain after drinking in their company and they would like him to get to the bottom of it. He describes having Read more about Hydronephrosis and aberrant renal artery[…]
Text and Images Oli Gaitsgory and Kezia Mansfield Clinical presentation: A 70 year old man with a background of metastatic colorectal cancer presents to the Emergency Department. He has a known large pelvic mass causing L ureteric obstruction, with a L ureteric stent in situ. He presents with 1 week of confusion and fevers. His blood Read more about Acute vs Chronic Hydronephrosis[…]
Images Chris Harrington, Text Genevieve Carbonatto A 60 year old man presents with right renal flank pain radiating to the groin. He was known to have a 6mm stone in his VUJ from a CT scan a few months back. At the time he had no hydronephrosis. A point of care ultrasound was performed. The Read more about Renal stones in PUJ[…]
Images and text Genevieve Carbonatto A 55 year old man with bilateral renal transplants and diabetes presents to the Emergency department with a 6 day history of right upper quadrant pain and severe back pain, fever, diarrhea, nausea and vomiting. On examination his HR is 95/min. He has a systolic BP of 97, and he Read more about Emphysematous kidney[…]
Images Bashir Antoine Chakar, text Genevieve Carbonatto A 32 year old man presents with right flank pain. He had an episode of renal colic 2 years ago and presented to the Emergency Department back then. He had a CT KUB done at the time which showed a small stone in his right VUJ and a Read more about Renal colic – the twinkle artifact[…]
Ultrasound images Genevieve Carbonatto and Tina Cullen text Genevieve Carbonatto A 35 year old man presents to the Emergency Department with acute onset right flank pain. He has been having “niggles” of pain in the last week but suddenly at work he develops severe pain. He has microscopic haematuria on a urinary dip stick. You Read more about Renal colic[…]