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Test 3
IVP
19
Health Care
Undergraduate 3
05/21/2015

Additional Health Care Flashcards

 


 

Cards

Term
what is an intravenous pyelogram
Definition
exam of the kidney through the inside of the veins
Term
how is an IVP done
Definition
series of abominal films taken sequentially over time, a delayed exam
Term
what is the collecting system composed of?
Definition
calyx, infundibulum, and pelvis
Term
what are the parts of the urinary system that come after the renal pelvis
Definition
uteropelvic junction, ureter, uretervesicle junction, and bladder
Term
what are the steps for taking an IVP
Definition
medical history, scout, inject contrast, 1 min film, 5 min film, 15 min film, obliques, post void
Term
what can you see on a scout film
Definition
conturs of kidney and bladder and any type of stone that may be present
Term
how big are the kidney's
Definition
about 3-4 lumbar vertebrae in length
Term
whats up with the right kidney
Definition
it is lower then the left because the liver pushes it down
Term
nephrogram
Definition
1 minute film, will start to see kidney's, should be centered high or at the kidneys
Term
what can you see from the nephrogram
Definition
absent kidney, delayed, or hyperdense (too white)
Term
what can you see in the collecting system and ureters
Definition
dilation, non-calcified stone or tumor, or laceration (leaking contrast)
Term
what are all signs of obstruction
Definition
delayed nephrogram, hyperdense nephrogram, or hydronephrosis
Term
when the obstruction causes the system to take longer to fill with contrast the sight of the obstruction may not be present yet, what do you do
Definition
ask for delayed films, double the time of the last film (after injection)
Term
what can cause there to be no nephrogram
Definition
absent kidney or non functioning kidney
Term
what is hydronephrosis
Definition
distention and dilation of the renal calyx caused by an obstruction of the free flow of urine from the kidney leading to atrophy or reflux
Term
what are contraindications for an IVP
Definition
allergies, BUN and Creatinine levels, anything that would indicate repressed kidney function (disease, multiple myeloma, sickle cell), diabetes, hay fever, heart disease
Term
what does BUN stand for
Definition
blood urea nitrogen
Term
what should the BUN level be for an IVP
Definition
.5-1.5
Term
what must the creatinine level be for an IVP
Definition
8-24
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