By Robert Older, Matthew Bassignani
ISBN-10: 1604060166
ISBN-13: 9781604060164
This publication provides a case-based method of opting for the multimodality imaging thoughts for the main often encountered urologic issues. The ebook offers finished assurance of the most recent imaging innovations with an emphasis on more moderen modalities equivalent to CT intravenous pyelograms (CT-IVP) and MRI for the genitourinary procedure. every one case opens with a concise description of the medical presentation, Read more...
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Example text
Most cases of calyceal diverticulum are incidentally detected on imaging studies for other reasons. About 40% will contain stones, and approximately one quarter may become infected. Pathology Similar incidences in children and adults point to the likelihood that these lesions are congenital and probably result from abnormal budding of the ureteric bud, with subsequent lack of parenchymal induction and resultant cystic cavity formation. A narrow connection from the cyst to the pyelocalyceal system remains.
PART II Contrast Media CASE 8 Clinical Presentation A 50-year-old male presents with abdominal pain. The patient is alert but has a blood pressure of 90/60. Fig. 1 A 5-minute radiograph from intravenous urography coned to the kidneys (asterisks). Radiologic Findings • • Bilateral persistent nephrogram (asterisks, Fig. 1). No calyceal filling bilaterally Diagnosis Hypotensive contrast reaction Differential Diagnosis • • • Contrast-induced nephrotoxicity Preexisting acute tubular necrosis Bilateral ureteral obstruction Discussion Background Mild to moderate reactions to the injection of iodinated contrast media (ICM) occur in 7 to 12% of patients.
Source: Resnick, Older, Diagnosis of Genitourinary Disease, New York: Thieme, 1997: 53. Reprinted by permission. 5 mg/dL or a 25% increase from baseline. Contrast-induced nephrotoxicity (CIN) in association with intra-arterial iodinated contrast media (ICM) administration is ~8% in patients with normal renal function and no diabetes. Data regarding intravenous ICM administration and the risk of CIN are limited. ARF has been reported to occur in anywhere from 1 to 30% of patients in clinical trials of various contrast agents, many receiving intra-arterial injection for cardiac studies.
Teaching atlas of urologic imaging by Robert Older, Matthew Bassignani
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