1. Urinary System & IVP(U)
Chapter 14
Urinary System
&
IVP(U)

2. Urinary System
2 __________
2 Ureters
1 __________
1 Urethra

3. Kidneys Posterior Abdominal organs __________Organs
Between ________and ___________
T11/12 and L3

4. Kidneys In the ____ plane kidneys angled approx. _____
Suprarenal __________gland
Moves with diaphragm.

5. Kidney Blood Supply Renal artery Renal vein From abdominal aorta
At rest _____ of the blood passes through kidneys.
Renal vein
_________

6. Kidney Function Produce urine which: _____________
Removes nitrogenous waste
Regulates ______________
Regulates __________ balance and electrolyte levels
And more..

7. Kidney Anatomy Macroscopic
__________ capsule
– Outermost surface
___________
Under fibrous capsule
Composed of renal pyramids
Renal columns
Cortex between renal pyramids

8. Kidney Anatomy Minor __________ Major _________ ____________
Convergence of renal pyramids opening at renal papilla
Major _________
Off of minors. Collecting area.
____________
Off of major calyces and empty into ureter.

9. Nephron Microscopic Area of Urine production.
Approx. __________per kidney
Within the ________ and ________

10. Ureter Transport urine from renal pelvis to bladder
___________diameter

11. Ureter Constriction __________ (UPJ) junction ________ brim
Renal pelvis to ureter
________ brim
Iliac blood vessels cross ureters
___________ (UVJ) junction
Ureter joins bladder

12. Urinary Bladder
Musculomembranous sac that _______ urine for expulsion.
3 openings in the __________
2 ureters
1 urethra
Total bladder capacity ______________

13. Bladder locations Female Male
– Posterior to ___________and anterior to ________
Male
– Posterior to _________and extends into _____________

14. IVP(U) Patient Prep Ideal NPO _________ _________prep
__________to the start of the exam

15. Prior to Injection Verify any contraindications to contrast.
Make sure a ___________ is aware you are injecting.
__________ based on department protocol.

16. Prior to Injection If the patient has a urinary catheter ___________
Watch for __________

17. IVU Imaging Routine Scout Inject Nephrogram Tomograms**
10, 15, 20 min KUB
RPO
LPO
Prone
Upright Post Void

18. Scout and delayed films
Position as routine __________
Mark films to indicate _________ times

19. Nephrogram Taken ____________post injection
Center between _________and _______ process. Mid sagittal
Done to show the ___________of Kidneys

20. Nephrotomograms If per protocol Center same as nephrogram
Typical cuts 8,9,10cm
Shows kidneys at various levels

21. RPO ____________ Center at iliac crest and mid line (_______________)
Shows ______ kidney in AP
Shows ______ureter unobstructed from spine

22. LPO ____________ Center at iliac crest and mid line (_______________)
Shows __________ kidney in AP
Shows ________ ureter unobstructed from spine

23. Prone
Position as per Prone Abdomen

24. Upright Post Void Have the pt void (strain)
Position as per KUB but _________________
_______________must be visualized
Shows emptying of bladder and any residual stones.

25. Other Urinary System Imaging
Retrograde Cystography (_________)
Voiding Cystourethrogram
____________
Retrograde ____________
OR Procedure

26. Cystogram Done to Image the ______________
Insertion of a Urethral Catheter (Foley)
Bladder filled with Iodinated Contrast
Usually ___________or more
Extension tube from __________ to contrast
Hung on IV pole. Allow __________bladder do not force.

27. VCUG Images the ______________ Following routine Cystogram
Catheter is _____________ and the pt is instructed ___________.

28. VCUG Under fluoro __________ is evaluated and images are taken.
Pt can be ___________________based on radiologist preference.

29. Retrograde Urography An _______________
Pt placed in modified ________ position.
Urologist will insert a scope into the bladder. Then via a catheter contrast is injected into the ____________
Images are taken at urologist’s discretion. Typically __________