Demonstrate the procedure for iv insertion, conversion to a saline lock, administration of iv fluids, discontinuation of the iv identify possible complications of intravenous therapy and nursing interventions to treat each. Scribd is the worlds largest social reading and publishing site. Intravenous urography ivu introduction and definition. Jul 01, 2001 our standard procedure for intravenous urography with optional images is outlined in the table 6 10.
Intravenous urography ivu is a dynamic procedure in which the natural passage of a bolus of contrast medium can be recorded as it is concentrated in the kidney and passes along the urinary tract to the point of its discharge from the external urethral meatus. The reliability and safety of intravenous urography were studied in 654 patients. Intravenous pyelogram aftercare instructions what you. The espr working groups have addressed intravenous urography ivu, uroct and mrurography mru in childhood as the last in the. Is an excretory urogram mandatory in patients with small to. Download the pdf to view the article, as well as its associated figures and tables.
In 1923, osborne and colleagues devised intravenous pyelography for visualizing the kidneys, ureters, and bladder. Intravenous pyelography an overview sciencedirect topics. A computed tomography urography ct urography or ct urogram is a computed tomography scan that examines the urinary tract after contrast dye is injected into a vein in a ct urogram, the contrast agent is through a cannula into a vein, allowed to be cleared by the kidneys and excreted through the urinary tract as part of the urine. Ivu intravenous urogram or ivp intravenous pyelogram. Magnetic resonance urography as an imaging modality for urinary. Intravenous urography ivu introduction and definition biology. Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. Intravenous urography was once widely used in the diagnosis of adpkd.
There was a 6 mm calculus in the proximal left ureter and an 8 mm calculus in the inferior pole calyx of the left kidney fig 1. Intravenous urography is becoming an increasingly safer procedure as improvement in the iodinecontaining contrast media has been developed. It is a special xray examination to outline the urinary tract which includes the kidneys, ureters and bladder. Is an excretory urogram mandatory in patients with small. Historically, intravenous urography ivu was the radiographic modality of choice for noninvasive assessment of the urinary tract. Ivu has been firstchoice technique for identifying urinary system diseases since it. The following are accepted indications for eu, as delineated by the american college of radiology acr. Intravenous urography ivu tests and procedures sehat. Pdf single shot intraoperative excretory urography for. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys. The procedure of bowel preparation before intravenous urography ivu is still a controversial debate and it varies in each health center. Pdf analysis of intravenous urography findings in a tertiary.
As an imaging study, it combines anatomic accuracy with qualitative information regarding renal function and obstruction. With the recent advances in small animal ultrasonagraphy, excretory urography has become an underutilized procedure. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. A presentation about intravenous urography also known as intravenous pyeography. This exam has been largely replaced by ct urography. As the kidneys clear an intravenously injected contrast medium from the blood, the size and shape of the kidneys, their calices and pelvises, the ureters, and the bladder can be. Several methods are used to diagnose upper urinary tract obstruction including renal ultrasonography us, intravenous pyelogram ivp, diuretic renography dr, magnetic resonance urography mru and antegrade or retrograde pyelography. You also may like to try some of these bookshopswhich may or may not sell this item. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. Antegrade pyelography, excretory urography eug, intravenous urography ivu, iug, ivp. Zderic md, in penn clinical manual of urology, 2007.
Effect of a logrolling procedure and postvoiding residual bladder urine volume. Patient preparation there are no activity restrictions unless by medical direction. The dye helps to show up these organs more clearly on xrays. Jan 30, 2016 ureteropelvic junction obstruction upjo is one of the most common causes of urinary tract obstruction in children. Intravenous pyelography ivp novant health uva health system. The ureters are tubes which go from each kidney to your bladder. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. No intravenous contrast medium was used during the procedure.
Intravenous pyelogram in which a contrast solution is introduced through a vein into the circulatory system retrograde pyelogram any pyelogram in which contrast medium is introduced from the lower urinary tract and flows toward the kidney i. The outcome variables used were number of shock waves, sessions of eswl, need for ancillary procedures, stonefree rate, efficiency quotient. Is intravenous urography required when ultrasonography and. Pdf assessment of image quality in radiography allows reduction of patient radiation doses. In addition it gives us information regarding the site, degree, and the nature of obstruction. Ct urography of urinary diversions with enhanced ct digital radiography. A computed tomography urography ct urography or ct urogram is a computed tomography scan that examines the urinary tract after contrast dye is injected into a vein. Espr uroradiology task force and esur paediatric working group. Whether preoperative assessment of urinary tract by ivu diminishes the risk of operative injury.
These calculi were not visualised in the intravenous urogram. In such patients, the procedure should be extended until the collecting system and the site of obstruction are identified 125. Intravenous urography is a rather simple procedure in rabbits. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. The urinary tract includes the kidneys, ureters, bladder, and the urethra. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and the urinary bladder. Jul 28, 1990 overall, ultrasonography concurred with the findings of urography in 149 94% patients, and when a single abdominal radiograph was included in the procedure, in 152 96%. What is the role of iv urography in the workup of autosomal. Ivu intravenous urogram or ivp intravenous pyelogram an intravenous urogram ivu is a test that looks at the whole of your urinary system.
Is an excretory urogram mandatory in patients with small to medium. May 01, 2019 intravenous pyelogram ivp intravenous pyelogram ivp is an xray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose blood in the urine or pain in your side or lower back. Cystoscopy and pyelography in children may be difficult and usually. The role of preoperative intravenous urography in preventing. Intravenous pyelography ivp,also known as excretory urography, is used to evaluate the structure and excretory function of the kidneys, ureters, and bladder. Intravenous pyelogram in which a contrast solution is introduced through a vein into the circulatory system. Introduction intravenous urography ivu is a radiographic examination of the. Pdf bowel preparation for excretory urography is not. Major subject headings minor subject headings male urogenital diseases.
Ultrasonography, intravenous pyelography ivp, and computed tomography ct are. The presentation contains 41 slides, and is divided into 4 parts. The dye travels through the bloodstream and is removed by the kidneys and passed into the ureters and bladder. Detailed description of method and interpretation of intravenous urography. This investigation should be done repeatedly, since the data obtained in these animals are variable. View and download powerpoint presentations on intravenous urography ppt. Pdf spontaneous renal extravasation during intravenous. Our standard procedure for intravenous urography with optional images is outlined in the table 6 10. Intravenous urography an overview sciencedirect topics. This investigation should be done repeatedly, since the. A procedure for intravenous urography in rabbits springerlink.
At our institution there is an openaccess policy with regard to requesting ivu studies. Pdf single shot intraoperative excretory urography for the. Apr 28, 2004 background an intravenous urogram ivu has traditionally been considered mandatory before treating renal and ureteric stones by extracorporeal shock wave lithotripsy eswl. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to.
Ultrasound versus intravenous urography in the initial. An ivp outlines the kidneys, showing their size and internal structure. Find powerpoint presentations and slides using the power of, find free presentations research about intravenous urography ppt. To determine whether preureteroscopic stone extraction use evaluation by intravenous urography ivu can change the clinical decision made on the basis of a plain xray of the kidneys, ureters, and bladder kub plus an ultrasonography in the case of ureteral calculi. To identify the current practice of patient preparation prior to intravenous urography ivu in england and wales. The role of preoperative intravenous urography in preventing urinary tract injury for benign pelvic lesion. Until recently, it was considered to be the gold standard for imaging in acute renal colic. Intravenous urography has been the procedure of choice for evaluation of renal colic since it was first performed in 1923. Is spiral computed tomography the imaging modality of. Education exhibit continuing medical education free access. Age specific psa range, percent free psa and presence of prostatic intraepithelial. If you log out, you will be required to enter your username and password the next time you visit. This study was designed to see whether there is a difference in complications and the need for ancillary procedures in patients managed by eswl for renal and ureteric calculi, according to preoperative imaging technique. In pocket companion to brenner and rectors the kidney eighth edition, 2011.
Intravenous urography ivu is considered an integral imaging component of the nephrourological workup in a wide array of clinical settings. Jun 20, 2016 intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. Once the principal investigation as imaging in urology. Mar 04, 2021 intravenous pyelogram ivp is an xray to see the urinary tract. Pdf clinical evaluation of image quality for intravenous. View this abstract online indications for intravenous urography. Single shot intraoperative excretory urography for the immediate evaluation of renal trauma. The value of intravenous urography prior to abdominal hysterectomy. These untoward reactions, while by no means serious. Spontaneous renal extravasation during intravenous urography. Urological procedure performed 75%with blunt trauma. Please visit the radiologyinfo web site at to view or download the latest.
In some instances, information regarding renal function and disease pathophysiology can also be obtained. Rationale to assess urinary tract dysfunction or evaluate progression of kidney disease such as stones, bleeding, and congenital anomalies. Is spiral computed tomography the imaging modality of choice. This exam has been largely replaced by ct urography terminology. Intravenous urography definition of intravenous urography. Intravenous therapy free online videos for caregivers. Our standard procedure for intravenous urography with optional images is. Among its disadvantages are that it involves contrast medium and it is diagnostic only in advancedstage adpkd when distortion. Intravenous urography examines is the urinary system by using a special dye contrast medium that is injected into one of your veins. Ultrasonography compared with intravenous urography in. The urethra is the tube from your bladder that passes out urine. To analyze intravenous urography ivu findings in a tertiary reference center. An xray of the renal pelvises and the urinary tract made with a radiopaque contrast medium that is injected intravenously and excreted by. The kidneys are two beanshaped organs located in the back abdomen, on both sides of the spine.
The value of intravenous urography prior to abdominal hysterectomy for gynecologic disease. Ultrasonography missed only one important diagnosis, that of mild papillary necrosis in normal sized kidneys in a diabetic patient. This not only makes the production of satisfactory radio graphs free from respiratory movement much. In this window in a new window standard procedure for intravenous urography the preliminary kidney, ureter, bladder kub radiograph is an indispensable part of the sequence. From a variety of other ways to get the image of the excretory system, the injection of intravenous contrast agent into the traditionally is considered the best and safe way. Apr 11, 2021 intravenous pyelography ivp, also called intravenous urography, uses xrays to produce pictures of the urinary tract, which includes the kidneys, bladder, ureters and urethra. On arrival in the xray department, please report to the reception desk. Intravenous urography may sometimes disclose both the site and the cause of the obstruction.
The scannings were performed by usspecialists who had access to all patient data except the ivp result. Detailed description of method and interpretation of intravenous urography transcript. This may require obtaining films as long as 1 day after radiocontrast injection. An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. Please confirm that you would like to log out of medscape. On the other, the t1weighted mru technique imitates conventional intravenous pyelography and is, therefore, referred to as excretory mr urography. An intravenous pyelogram ivp is an xray examination of the kidneys, ureters and. Intravenous pyelography ivp novant health uva health. Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10. Delayed renal exploration was procedure necessary in only 1 case due to. Comparison between diuretic urography ivp and diuretic.
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