Ultrasound Case Studies The sonography case studies in this section offer you an opportunity to see a wide range of ultrasound images of normal anatomy, pathologies and anatomic variants. This can be a great resource for practitioners and students to test their knowledge and expertise in interpreting ultrasound images Case 27: Ectopic Pregnancy. A 43 year old female with no past medical history presents to the Emergency Department (ED) with lower abdominal pain for the last three hours. She says she knows she is pregnant from a home pregnancy test, but has not had any appointment with obstetrics and has not had an ultrasound yet
7000+ Cases. Browse our free ultrasound library offered to you by SonoSkills and Hitachi Medical Systems Europe. This brand new website is still in development, make sure to sign-up for our newsletter to stay up-to-date on new features! Newsletter signup. Abdomen and retroperitoneum A 3.5-5 MHz probe is typically used to scan the kidney. For the right kidney, have the patient lie supine and place the probe in the right lower intercostal space in the midaxillary line. Use the liver as your acoustic window and aim the probe slightly posteriorly (toward the kidney). Gently rock the probe (up and down or side to side) to scan the entire kidney. If needed, you can have the patient inspire or exhale, which allows for subtle movement of the kidney Case 4 • Renal ultrasound without stones / hydronephrosis • Stone analysis 100% calcium oxalate • 24-hour urine study: • Recommended calcium citrate with meals, low oxalate diet, low salt / animal protei
Case Study #1 - Hydronephrosis and Hydroureter - NCUS - North Carolina Ultrasound Society Case Study #1 - Hydronephrosis and Hydroureter Depending on the cause of hydronephrosis patients can be asymptomatic or patients can present with abdomen, back and flank pain. Patients can also present with dysuria, oliguria incontinence and nausea Ultrasound scan was found to be useful screening test, but CT is the imaging study of choice to identify malignant features. MRI can be used in equivocal cases [ 7 ]. Pre-operative clinical variables may be used instead of the pathologic stage to determine the risk of recurrence [ 8 ] In this study, a renal ultrasound was considered suggestive of VUR if dilatation of the pelvi-calyces, dilatation of the ureters, or dilatation of the collecting system of one or both kidneys was reported. All ultrasound scans and VCUGs were performed at HSC and the results reported by staff paediatric radiologists A 20-year case study of a kidney transplant recipient with chronic active hepatitis C: clinical course and successful treatment for late acute rejection induced by interferon therapy Transplantation. 1998 Jan 15;65(1):134-8. doi: 10.1097/00007890-199801150-00026..
Discussion This case illustrates the typical ultrasound appearance of infantile polycystic kidney disease, characterized by hyperechoic and enlarged kidneys. The cysts are usually too numerous and too small to be idenditifed seperately and give the typical hyperechoic appearance to the kidneys. The amniotic fluid volume is reduced The Case: A 25 y.o. male with a history of diabetes presents with a chief complaint of flank pain. and another included study showed that the sensitivity of bedside renal ultrasound increased to 100% when patients had three or more stones, regardless of size. While hydronephrosis is an incredibly helpful finding in the evaluation of renal. Abdominal ultrasound exam revealed moderate bilateral chronic renal changes and multifocal hyperechoic splenic nodules most consistent with benign myelolipomas. Due to the possibility for hyperaldosteronism as a cause for Melvin's hypokalemia, an aldosterone level was submitted and was elevated at 1,043 pmol/L (reference range 194-388 pmol/L) A duplex exam of renal arteries was performed to rule out renal artery stenosis
This case then highlights an important point of practice. It is futile to look for 'normal ranges' for supersaturations, as normal and stone forming patients have overlapping values - or can . Unfortunately i n his brilliant studies of urine stone risk, Curhan did not publish supersaturations, so we cannot link them stone stone risk in. Antenatal ultrasound With the widespread use of antenatal ultrasound, renal agenesis can be identified in utero, although the presence of normal amounts of amniotic fluid and urine in the bladder results in the diagnosis being frequently missed, unless specifically and routinely looked for. Features include 1
Renal Doppler images are as follows: Figure 1a: Grey scale image shows narrowing at the origin of the right renal artery due to atherosclerotic plaque. Figure 1b: Color Doppler image obtained at the origin of the right renal artery shows aliasing at the origin of the right renal artery and an elevated peak systolic velocity of 263 cm/second Renal artery stenosis. - Case 1: secondary to atherosclerosis. - Case 2: secondary to fibromuscular dysplasia. Background. Renal Artery Stenosis is defined as a fixed narrowing of renal artery (main or branch vessels). May lead to refractory hypertension, ischemic nephropathy, and/or pulmonary edema The study was ordered to see if the stones caused hydronephrosis within the right kidney. Bilaterally, echogenic renal medullae were visualized, indicating a case of medullary sponge kidney and medullary nephrocalcinosis. Keywords medullary nephrocalcinosis, medullary sponge kidney, papillary necrosis, sonography Figure 1
A, Gray scale renal ultrasound demonstrating normal appearing right lower quadrant renal allograft. B, Doppler ultrasound demonstrating prominent vascularity and turbulent flow in the lower pole suggestive of an arteriovenous fistula involving segmental‐interlobar vessels. Transverse view of the kidney is shown in the inset Figure The following report examines two case studies where a diagnosis of NCP was made from clinical history and ultrasound findings. Based on these case studies, we would like to propose an appropriate ultrasound scanning protocol for patients presenting with symptoms of gonadal vein incompetence. Case study A CASE STUDY ON HEMOLYTIC UREMIC SYNDROME- LEADING TO ACUTE RENAL FAILURE. { DOWNLOAD AS PDF } ABOUT AUTHORS: Jiguru Prasant*, Mohammad Kaleemullah Quraishi, Amer Khan. Department of Doctor of Pharmacy, Krishna Institute of Medical Sciences and Bharat Institute of Technology (Pharmacy), Hyderabad, Telangana, India. Prashant7792@gmail.com Renal ultrasound: The right kidney measures 9.9 x 3.8 cm, with mild fullness of the collecting system, increased renal parenchymal echogenicity, and right-sided renal cysts. The left kidney measures 9.7 x 5.5 cm, with mild fullness of the collecting system, increased renal parenchymal echogenicity, and one left-sided renal cyst A 37-year-old man initially presented to an outside emergency department with subjective fever, vomiting, diarrhea, and dysuria. He had ESKD secondary to a posterior urethral valve and reflux nephropathy, for which he had undergone a deceased-donor kidney transplant. On physical examination, the patient was normotensive, tachycardic, and febrile, and he had mild diffuse abdominal tenderness
The Case: A 72 year old male with no PMH presents to the emergency department (ED) for vague abdominal discomfort and fullness. The patient is hemodynamically stable on arrival and received a point of care ultrasound (POCUS) for evaluation of his abdominal pain. FAST performed was negative for free fluid, however, the renal ultrasound showed. Kidney Case # 1 CSv2 Training Materials Page 1 of 6 Procedure: Left Laparoscopic Partial Nephrectomy with intraoperative renal ultrasound Present Medical History: The patient is a 51-year-old male who initially presented in March of contrast was not used during the MRI study. The MRI and the ultrasound further characterize The physician conducting POCS in this case has been through the ultrasound accreditation process associated with the American Urological Association and the American Institute of Ultrasound in Medicine. 1. This case study illustrates how POCS was employed by a physician in conjunction with a thorough patient history and physical examination to. • Case 4: 11 year old Bengal cat with a 1 year history of renal insufficiency. This case compares radiographs to ultrasound to evaluate renal disease and shows a chronic hydronephrosis and renal atrophy from chronic renal disease. • Case 5: 3 year old Jack Russell Terrier with a soft tissue swelling on the right side and a mild fever. This.
The sentinel study on ED ultrasound in diagnosing AAA was conducted by Plummer et al. in 1998 11. The authors demonstrated more timely diagnosis when the scan was performed in the ED, with a mean of 5.4 minutes for ED ultrasound versus 83 minutes for radiology ultrasound, and decreased mortality, with a survival rate of 72% with ED scans. The Case: Chronic Kidney Disease Unmasked by Single-Subject Research. Chi-square study was used to hypertension the occurrence of chronic variables. Two-tailed bivariate correlations were determined by the Pearson's disease. In all, 62 patients met the inclusion criteria and agreed to participate in the study
Renal artery Doppler rules out renal artery stenosis Computed tomography (CT scan or CAT scan) is a noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs Polycystic kidneys, Renal, ADPKD, Autosomal dominant polycystic kidney disease: Ultrasound Quiz Library 032. bowel obstruction, valvulae conniventes, keyboard sign, Gallstone ileus: Ultrasound Quiz Library 031. In case of sale of your personal information, you may opt out by using the link Do not sell my personal information. Cookie. Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of September 10, 2018 Extremity Venography, Renal Venography, IVC gram & IVUS PROCEDURE: Ultrasound-guided access left common femoral vein, selective left iliofemora
Patient has a stone visible on renal or bladder ultrasound: in this situation, ultrasound is diagnostic. CT scan will not provide any additional information unless there is a suspicion of a different diagnosis in which case a different CT scan protocol is most likely needed (with IV and PO contrast) Case Studies in Clinical Hemostasis Renal ultrasound is often indicated, when abnormal size and shape of the kidneys are palpated or abnormal shape, size, and/or opacity are seen on radiographs. In addition, abnormalities in the renal parameters in serum chemistry and urinalysis call for renal ultrasound The few case reports of magnetic resonance (MR) imaging of ARPKD in the literature (all of fetal kidneys) described increased signal intensity of the renal parenchyma at T2-weighted imaging (21, 39). A case report of technetium-99m dimercaptosuccinic acid radionuclide imaging of a neonate with ARPKD described diffuse, symmetric uptake of the.
CASE 7 (Click here to go to the answers) Clinical History: A 38-year-old G2 P1 woman had a normal term infant last year. She has an ultrasound at 17 weeks in her current pregnancy. The fetal size equivalent is 15.3 weeks. The fetal brain appears abnormal, with only a single ventricle and fused thalami. Orbits are not seen The earlier ARPKD presents, the worse the prognosis. Although there are case reports of 1st trimester diagnoses based upon renal enlargement and echogenicity, this is the exception rather than the rule 14.A 20 week ultrasound examination may be entirely normal In patients with abdominal distension ultrasonography can be technically challenging, in which case other imaging studies will be necessary. Renal Doppler ultrasound and contrast-enhanced ultrasound are two relatively new techniques that may be used at the bedside to estimate renal perfusion and renal cortical microcirculation, respectively [73. Renal amyloidosis in dogs: a retrospective study of 91 cases with comparison of the disease between Shar-Pei and non-Shar-Pei dogs J Vet Intern Med. Mar-Apr 2012;26(2):259-68. doi: 10.1111/j.1939-1676.2011.00878.x. Epub 2012 Jan 23. Authors G Segev 1.
NAVIX's 500 Vascular Ultrasound Case Preceptorship is designed to train physicians in the interpretation of vascular testing modalities including cerebrovascular, extremity arterial, extremity venous and visceral vascular. NAVIX's 500 Vascular Ultrasound Case Preceptorship is only available to group onsite delivery. We will provide this program for a group at their location or designated. Critically ILL COVID-19 Patients With Acute Kidney Injury Have Reduced Renal Blood Flow and. Perfusion. Despite Preserved Cardiac Function; A Case-Control Study Using Contrast Enhanced Ultrasound. Address reprint requests to Sam D. Hutchings, PhD, Department of Critical Care, Kings College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom Previously published Interesting Cases. A FRUITFUL ULTRASOUND INVESTIGATION FOR LOWER URINARY TRACT SYMPTOMS. Submitted by : Mirna Al-Khouri, Daniel Kim, Simon Thorogood, Royal Cornwall Hospital, Truro, Cornwall. A PAIN IN THE NECK. Submitted by : Dr A Chavda and Dr C Harvey, Imperial College Healthcare NHS Trust, London
In a case-control study of 18 patients with HIVAN prior to the advent of ART, 9 were treated with captopril, and matched with 9 controls. The captopril-treated group had improved renal survival, defined as time to ESRD, compared with controls (mean renal survival: 156 ± 71 days vs 37 ± 5 days; p < .002) Imaging examinations (X-ray, ultrasound and computed tomography of the abdomen) revealed extensive calcium deposits in the renal parenchyma, indicating nephrocalcinosis as the causal factor of the disease. Patient 2 is the 45-year-old brother of patient 1. He exhibited an advanced stage of chronic kidney failure The available literature on pAKI and its management was reviewed in PubMed using the search terms acute kidney injury, acute kidney injury management, acute renal failure, kidney failure, renal insufficiency, renal vein thrombosis, prerenal failure, and obstructive renal failure. The search was limited to studies of patients from birth to age 18
Philips Lumify Case Study:A Patient with Dyspneaby Dr. Sara Nikravan. In this Lumify case study and summary video, Dr. Sara Nikravan discusses how she used her Philips Lumify handheld ultrasound system to guide the diagnosis and treatment of a patient experiencing shortness of breath. Studies advocating point-of-care ultrasound (POCUS) for the. urinary tract infection; DMSA; ultrasonography; renal cortical scarring; Urinary tract infection (UTI) is one of the most common bacterial diseases of childhood, with a reported prevalence in one study of 8.4% in girls and 1.7% in boys by the age of 7 years.1 Diagnostic imaging of the urinary tract in children with a history of UTI has been accepted practice since the 1960s, and seminal.
Case Study: Characteristics of Fetal Hiatal Hernia. Figure 1. Courtesy of Durr-e-Sabih, MBBS, MSc, FRCP (click to enlarge). Figure 2. Courtesy of Durr-e-Sabih, MBBS, MSc, FRCP. A 28-year-old woman, 17 weeks pregnant with her first child, presented for a routine obstetrical ultrasound to rule out congenital fetal anomalies case with increased echogenicity, and 1 case of renal simple cysts. In comparison, all 8 (100%) non-survivors had con-tralateral renal anomalies, which included 2 with bilateral MCDK, 1 with bilateral echogenic kidneys, 1 with ectopic fused kidney, 1 with echogenic kidney with ureterocele, 1 with renal agenesis, and 2 with hydronephrosis. No. Feline Chronic Kidney Disease. Chronic kidney disease (CKD) affects an estimated 1% to 3% of all cats. 1 This important cause of mortality in cats develops over a period of months or years. The associated nephron damage is progressive and irreversible even though some cats with CKD have stable serum creatinine concentrations for months to years Ultrasound examination can be very useful in evaluation of the kidneys, ureters, and bladder but has limited ability to evaluate the urethra. Another technique that has been used more recently is nuclear scintigraphy, which provides a non-invasive method for analysis of renal blood flow and function. Types of Urinary Stone Case Conclusion: The patient's ultrasound showed moderate hydronephrosis and no bladder jet was visualized from the right ureter, consistent with the diagnosis of an obstructing renal stone. The patient's urine showed no evidence of infection and his renal function was at baseline, but given his significant history of requiring intervention for.
Case Study: How Leg Cramps in a 12-Year-Old Led to Kidney Transplant. This profile of a successful kidney transplant case illustrates the value of classic clinical sleuthing even when standard screening for pediatric kidney disease raises no flags A renal biopsy in this case showed deposition of crystalline material in the lumens of tubules that was birefringent on polarizing light microscopy and that was thought to be calcium oxalate. Additional studies confirmed this, including electron probe analysis of the tissue showing calcium in the crystals US cases to know. Female Pelvis. Kidney. Liver cases. Obstetric cases. Superficial masses. Obstetric cases - common and uncommon cases. Case 1. Case 2 either kidney treated with single drug therapy of Unex capsule of Unijules Life Science Ltd. for three month and he got total cure without any pain etc. Index Terms- Unex capsule, calculi, single therapy, case study, detoxifying, hydronephrosis, intraluminal III. I. INTRODUCTION rinary stones belong to the group of biominerals. Differen
We present a case of a man in his late 50s with a history of metastatic prostate carcinoma requiring bilateral ureteric stenting. He was admitted with increasing confusion and lethargy. He was diagnosed with sepsis and an acute kidney injury (AKI). Clinical suspicions of an obstructive component to his AKI were not confirmed by an ultrasound scan, which showed a unilateral hydronephrosis. A kidney ultrasound is a safe way to examine a patient and obtain vital images without the risk of exposure to radiation. Most people don't experience any side effects. In rare instances, you may notice some mild tenderness over the areas that have been examined, but this should subside within a couple of hours. 3 Introduction. Acute kidney injury (AKI), formerly termed acute renal failure, is characterized by a sudden deterioration in renal function [].Numerous studies have found that AKI is associated with an increased mortality and adverse outcomes regardless of patient characteristics and the context in which injury occurs [2, 3].Until a decade ago, there was a lack of uniform diagnostic criteria. Acute Renal Failure Case Study HPI Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal failure. The patient's chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty
Abdominal Ultrasound and Abdominal Ultrasound with Doppler (Liver, spleen, gallbladder, kidneys, pancreas, abdominal aorta, biliary system) (Exam time: 30 min; visit time about 1-1/2 hours) Adults: Do not eat or drink eight hours before exam. Children: Do not eat or drink four hours before study or skip one meal 1 third-trimester complete anatomy case (76805) documenting all required anatomy; GA 27w or later. Limited or follow-up studies will not be accepted. Refer to page 2 for imaging checklist. • 2 NORMAL indicated detailed second-trimester (76811) cases. Refer to page 3 for imaging checklist
Contrast-enhanced ultrasound (CEUS) can be used to characterize simple and complicated cystic lesions and can provide information on kidney vascularity and perfusion. Kidney perfusion can be determined by using a microbubble contrast agent and contrast-specific imaging software. Microbubble contrast agents consist of encapsulated microscopic. Narration. So you may not have done any point-of-care ultrasound, and that's fine. What I'll point out to you is that the anterior chamber of this heart is very enlarged - that's the right ventricle. And when this happens in a young, otherwise healthy person, it's pretty much pathognomic for a massive pulmonary embolism This causes urine to build up, damaging the kidney. The condition can also be caused when a blood vessel is located in the wrong position over the ureter. UPJ obstruction is the most frequently diagnosed cause of urinary obstruction in children. It is now commonly diagnosed during prenatal ultrasound studies Introduction: Most common primary renal tumor in childhood; peak age 2-3 years; 75% occur before the age of 5. Arises in nephrogenic blastema. Epithelial, stromal, blastemal ( undifferentiated components) May contain primitive cartilage, osteoid, fat. Histology: Favorable - 88%, Cure rate - 90%
Vascular ultrasound provides pictures of the body's veins and arteries. A Doppler ultrasound study is usually part of a vascular ultrasound examination. Doppler ultrasound is a special ultrasound technique that evaluates movement of materials in the body. It allows the doctor to see and evaluate blood flow through arteries and veins in the body Clinical trials. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.. Lifestyle and home remedies. During your recovery from acute kidney failure, your doctor may recommend a special diet to help support your kidneys and limit the work they must do Almost 1 in 2 U.S. adults—or about 108 million people—have high blood pressure. 1. More than 1 in 7 U.S. adults—or about 37 million people—may have chronic kidney disease (CKD). 2. High blood pressure is the second leading cause of kidney failure in the United States after diabetes, as illustrated in Figure 1. 2 Kidney, Ureter, and Bladder Study. Synonym/Acronym: Flat plate of the abdomen; kidney, urine, and bladder (KUB); plain film of the abdomen. Rationale. To visualize and assess the abdominal organs for obstruction or abnormality related to mass, trauma, bleeding, stones, or congenital anomaly. Patient Preparation
Renal duplex studies showed that RAS progression was more in patients with greater than 60% RAS (18%, 28%, and 49% for renal arteries initially classified as normal, <60% stenosis, and >60% stenosis, respectively, P=0.03). 8 Advanced age, female sex, CAD, longer time between initial screening and follow-up were independently associated with the. Baby's Brain Damage: Radiologist misreading of obstectrical ultrasound is blamed for newborn's cardiac arrest and hypoxic ischemic brain injury in medical malpractice lawsuit in Massachusetts, settled in July of 2010 for $2 million - medical malpractice trial attorneys for the plaintiff - Lubin & Meyer, representing med mal victims in MA, NH, RI Case. A 36-year-old woman with a 2-week history of left flank pain presented to the ED via emergency medical services. The patient, who had a history of nephrolithiasis, assumed her pain was due to another kidney stone. She stated that while waiting for the presumed stone to pass, the pain in her left flank worsened and she felt lightheaded and.
In a study of ultrasound and laboratory findings in Wilms tumor survivors with a solitary kidney, signs of kidney damage were seen in 22 of 53 (41.5%) patients on ultrasonography. The most frequently detected abnormalities were hyperechoic rings around renal pyramids (28.3% of patients). Hypertrophy of the solitary kidney occurred in 71,7% of. Chronic pyelonephritis is a complex renal disorder characterized by chronic tubulointerstitial inflammation and deep segmental cortical renal scarring and clubbing of the pelvic calyces as the papillae retract into the scars. It is an important cause of end-stage renal disease (ESRD)
Most episodes of painful kidney stone disease require a CT scan for an accurate diagnosis. Other forms of imaging include a plain X Ray or an Ultrasound, but these are less reliable. Patients presenting with kidney stones also require blood and urinary tests to make sure there is no infection and that the kidneys are functioning normally
