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KUB and IVP

KUB and IVP. Urinary System/GU System. KUB. Plain film to check or follow up Kidney stones Scout film for IVP check technique check to see what we are working with Check to see what is in the bladder Check for stones. Structures shown. Kidneys Ureters Bladder. Kidney. Kidney.

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KUB and IVP

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  1. KUB and IVP Urinary System/GU System

  2. KUB • Plain film to check or follow up Kidney stones • Scout film for IVP • check technique • check to see what we are working with • Check to see what is in the bladder • Check for stones

  3. Structures shown Kidneys Ureters Bladder

  4. Kidney Kidney Bladder

  5. Good film • Entire kidneys to bladder and symphysis pubis(might need two 14 x17 crosswise) • No rotation • Abdomen technique to see soft tissue

  6. Before you start IVP: • Prep yes or no • HX • Ask about pregnancy • Emergency drugs are in room, Oxygen? • Consent form • Creatinine level 65 and older and on all diabetic patients • Empty bladder • Explain exam to patient

  7. The IVP exam can detect problems within the urinary tract resulting from: • kidney stones • enlarged prostate • tumors in the kidney, ureters or urinary bladder • function problems

  8. An IVP shows the anatomy and function of the kidneys and lower urinary tract.

  9. Calyx Renal Calyx elvis *Ureter ladder

  10. IVP FILMS • KUB (scout) • Tomogram (scout) 10 x12 cw or 11x14 cw • Contrast given • Immediate film over kidneys 10 x12 cw or 11x14 cw • 3 kidney tomograms (7cm, 8cm,9cm) • 5 min 14 x17lw AP (full film) • 7,8 min 14 x17 lw LPO and RPO • 10 min 14 x 17 lw PA (full film) • AP 14 x 17 lw upright • Show films • Could ask for voiding films or spots • Post Void AP 8 x10 cw over the bladder • Post Void LPO and RPO for UV junction

  11. Films • All 14 x 17 films need kidneys, ureters and bladder on the film • All 10x12 films need the kidneys on • All 8 x10 films need all of the bladder on

  12. Good film • No motion on films * except tomograms • Spine down center of film • Mark films with time, cm, scout, upright, postvoid and R and L markers

  13. RPO/LPO • 30 Degrees obliquity • RPO shows Rt kidney and ureter • LPO shows the Lt kidney and ureter • Bladder films RPO/ LPO (10-15 degrees) • RPO demonstrates the left UV • LPO demonstrates the right UV

  14. RPO Shows rt Kidney and ureter Shows Lt UV

  15. LPO Shows LT Kidney & ureter Shows Rt UV

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