Hydronephrosis echocardiography or ultrasound: Difference between revisions
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==Overview== | |||
Early diagnosis of [[hydronephrosis]] is important because most of the cases can be reversed if treated promptly which can prevent [[irreversible]] renal injury. [[Renal]] [[ultrasonography]] is the diagnostic study of choice for the [[diagnosis]] of [[hydronephrosis]]. | |||
==Ultrasonography== | ==Ultrasound== | ||
* [[Renal]] [[ultrasonography]] is the diagnostic study of choice for the [[diagnosis]] of [[hydronephrosis]].<ref name="pmid416685">{{cite journal |vauthors=Ellenbogen PH, Scheible FW, Talner LB, Leopold GR |title=Sensitivity of gray scale ultrasound in detecting urinary tract obstruction |journal=AJR Am J Roentgenol |volume=130 |issue=4 |pages=731–3 |date=April 1978 |pmid=416685 |doi=10.2214/ajr.130.4.731 |url=}}</ref> | |||
* The following results of [[ultrasonography]] is confirmatory of [[hydronephrosis]]:<ref name="pmid4166852">{{cite journal |vauthors=Ellenbogen PH, Scheible FW, Talner LB, Leopold GR |title=Sensitivity of gray scale ultrasound in detecting urinary tract obstruction |journal=AJR Am J Roentgenol |volume=130 |issue=4 |pages=731–3 |date=April 1978 |pmid=416685 |doi=10.2214/ajr.130.4.731 |url=}}</ref><ref name="pmid3070720">{{cite journal |vauthors=Kuuliala IK, Niemi LK, Ala-Opas MY |title=Ultrasonography for diagnosis of obstructing ureteral calculus |journal=Scand. J. Urol. Nephrol. |volume=22 |issue=4 |pages=275–7 |date=1988 |pmid=3070720 |doi= |url=}}</ref><ref name="pmid7281377">{{cite journal |vauthors=Talner LB, Scheible W, Ellenbogen PH, Beck CH, Gosink BB |title=How accurate is ultrasonography in detecting hydronephrosis in azotemic patients? |journal=Urol Radiol |volume=3 |issue=1 |pages=1–6 |date=1981 |pmid=7281377 |doi= |url=}}</ref><ref name="pmid72813772">{{cite journal |vauthors=Talner LB, Scheible W, Ellenbogen PH, Beck CH, Gosink BB |title=How accurate is ultrasonography in detecting hydronephrosis in azotemic patients? |journal=Urol Radiol |volume=3 |issue=1 |pages=1–6 |date=1981 |pmid=7281377 |doi= |url=}}</ref> | |||
** Hypoechoic fluid displaces the [[echogenic]] sinus [[fat]] | |||
** Anechoic black area | |||
** Can detect dilation of the [[proximal]] renal [[pelvis]] of the kidney due to obstruction | |||
** Can detect dilation of the [[renal pelvis]] and calyces of the kidney due to obstruction | |||
** Can detect thinning of the [[renal cortex]] | |||
[[File:Kidney Stones On Ultrasound.jpg|alt=Urolithiasis|center|thumb|Case courtesy of Dr Amr Refat, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/25562">rID: 25562</a>]] | |||
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==References== | ==References== |
Latest revision as of 18:17, 12 August 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Early diagnosis of hydronephrosis is important because most of the cases can be reversed if treated promptly which can prevent irreversible renal injury. Renal ultrasonography is the diagnostic study of choice for the diagnosis of hydronephrosis.
Ultrasound
- Renal ultrasonography is the diagnostic study of choice for the diagnosis of hydronephrosis.[1]
- The following results of ultrasonography is confirmatory of hydronephrosis:[2][3][4][5]
- Hypoechoic fluid displaces the echogenic sinus fat
- Anechoic black area
- Can detect dilation of the proximal renal pelvis of the kidney due to obstruction
- Can detect dilation of the renal pelvis and calyces of the kidney due to obstruction
- Can detect thinning of the renal cortex

References
- ↑ Ellenbogen PH, Scheible FW, Talner LB, Leopold GR (April 1978). "Sensitivity of gray scale ultrasound in detecting urinary tract obstruction". AJR Am J Roentgenol. 130 (4): 731–3. doi:10.2214/ajr.130.4.731. PMID 416685.
- ↑ Ellenbogen PH, Scheible FW, Talner LB, Leopold GR (April 1978). "Sensitivity of gray scale ultrasound in detecting urinary tract obstruction". AJR Am J Roentgenol. 130 (4): 731–3. doi:10.2214/ajr.130.4.731. PMID 416685.
- ↑ Kuuliala IK, Niemi LK, Ala-Opas MY (1988). "Ultrasonography for diagnosis of obstructing ureteral calculus". Scand. J. Urol. Nephrol. 22 (4): 275–7. PMID 3070720.
- ↑ Talner LB, Scheible W, Ellenbogen PH, Beck CH, Gosink BB (1981). "How accurate is ultrasonography in detecting hydronephrosis in azotemic patients?". Urol Radiol. 3 (1): 1–6. PMID 7281377.
- ↑ Talner LB, Scheible W, Ellenbogen PH, Beck CH, Gosink BB (1981). "How accurate is ultrasonography in detecting hydronephrosis in azotemic patients?". Urol Radiol. 3 (1): 1–6. PMID 7281377.