Antegrade pyelography - Revision history

Mikael Häggström: inject

2019-08-20T10:35:22Z

inject

Mikael Häggström: /* Report */ Template

2019-07-30T06:45:28Z

Report: Template

Mikael Häggström: /* Report */ Correlation

2019-04-30T14:56:56Z

Report: Correlation

Mikael Häggström: /* Procedure with established nephrostomy */ Moved

2019-04-30T14:55:58Z

Procedure with established nephrostomy: Moved

Mikael Häggström: /* Procedure with established nephrostomy */ Templated

2019-04-30T14:55:20Z

Procedure with established nephrostomy: Templated

Mikael Häggström: +Grading

2019-04-30T14:53:19Z

+Grading

Mikael Häggström: /* Report */ Wording

2019-04-30T14:35:10Z

Report: Wording

Mikael Häggström: /* Report */ Or caliber change

2019-04-30T14:33:52Z

Report: Or caliber change

Mikael Häggström: /* Report */ Most distal

2019-04-30T14:32:04Z

Report: Most distal

Mikael Häggström: +Ref

2019-04-30T14:27:11Z

+Ref

@@ Line 11: / Line 11: @@
 ==Procedure with established nephrostomy==
 *Take an initial anteroposterior image including the presumed locations of the kidney, ureter and urinary bladder.
-*Infuse iodinated contrast, usually at least a volume corresponding to about 15 ml of 240mg/ml iodine. Observe both the imaging and whether the patient develops flank pain. Optionally, note how much contrast has been infused at that point.
+*Inject iodinated contrast, usually at least a volume corresponding to about 15 ml of 240mg/ml iodine. Observe both the imaging and whether the patient develops flank pain. Optionally, note how much contrast has been injected at that point.
 *Note the following:
 :*Location of the tip of the catheter in the kidney
@@ Line 22: / Line 22: @@
 ===If contrast does not reach the urinary bladder===
-Infuse as much contrast as still comfortable by the patient. Observe the most distal part reached by contrast, and the shape thereof. Zooming in on this segment may detect subtle passage. Also turn your eye to the nephrostomy for leakage.
+Inject as much contrast as still comfortable by the patient. Observe the most distal part reached by contrast, and the shape thereof. Zooming in on this segment may detect subtle passage. Also turn your eye to the nephrostomy for leakage.
 Obtain new projections after:
@@ Line 43: / Line 43: @@
 :*Shape of the ureter at the obstruction.
 :*Correlation to findings on previous imaging such as CT
-*Volume of contrast infused.
+*Volume of contrast injected.
 *Provocation with standing or coughing.
 {|class="wikitable"
 | [[File:Antegrade pyelogram of grade III hydronephrosis with obstruction at the ureterovesical junction.jpg|thumb|left|<ref>{{cite journal|last1=Efe|first1=Erkan|last2=Bakacak|first2=Murat|last3=Serin|first3=Salih|last4=Kolus|first4=Eyüp|last5=Ercan|first5=Önder|last6=Resim|first6=Sefa|title=Hormonal Treatment for Severe Hydronephrosis Caused by Bladder Endometriosis|journal=Case Reports in Urology|volume=2014|year=2014|pages=1–5|issn=2090-696X|doi=10.1155/2014/891295}}</ref>]]
-The tip of the nephrostomy is located in an inferior calyx.<br>Approximately 50 ml of contrast is infused, whereupon the patient feels flank pain. There is grade III hydronephrosis and hydroureter, with tapering at the ureterovesical junction, and no contrast in the bladder. No leakage.
+The tip of the nephrostomy is located in an inferior calyx.<br>Approximately 50 ml of contrast is injected, whereupon the patient feels flank pain. There is grade III hydronephrosis and hydroureter, with tapering at the ureterovesical junction, and no contrast in the bladder. No leakage.
 |}
 {{Reporting}}
 {{Bottom}}

@@ Line 50: / Line 50: @@
 The tip of the nephrostomy is located in an inferior calyx.<br>Approximately 50 ml of contrast is infused, whereupon the patient feels flank pain. There is grade III hydronephrosis and hydroureter, with tapering at the ureterovesical junction, and no contrast in the bladder. No leakage.
 |}
+{{Reporting}}
 {{Bottom}}

@@ Line 42: / Line 42: @@
 :*Classification as partial or complete (that is, some or no passage of contrast)
 :*Shape of the ureter at the obstruction.
 *Volume of contrast infused.
 *Provocation with standing or coughing.

@@ Line 20: / Line 20: @@
 :*Flow into the urinary bladder (see below if none).
 After the procedure, open up any closed bladder catheter.
 ===If contrast does not reach the urinary bladder===
@@ Line 29: / Line 27: @@
 *Having the patient in a more standing position.
 *Having the patient cough.
 ==Report==

@@ Line 10: / Line 10: @@
 ==Procedure with established nephrostomy==
 *Take an initial anteroposterior image including the presumed locations of the kidney, ureter and urinary bladder.
 *Infuse iodinated contrast, usually at least a volume corresponding to about 15 ml of 240mg/ml iodine. Observe both the imaging and whether the patient develops flank pain. Optionally, note how much contrast has been infused at that point.
@@ Line 16: / Line 15: @@
 :*Location of the tip of the catheter in the kidney
 :*Any visible hydronephrosis or hydroureter. If present, also note:
-::*Severity of the hydronephrosis
+::*Severity of the hydronephrosis (see section below)
 ::*Any caliber change, or most distal part reached by contrast.
 :*Any contrast outside the catheter or urinary tract, including leakage along the outside of the catheter
 :*Flow into the urinary bladder (see below if none).
 After the procedure, open up any closed bladder catheter.
 ===If contrast does not reach the urinary bladder===

@@ Line 33: / Line 33: @@
 Optionally also:
-*Shape of the most distal part reached by contrast.
+*If obstructed:
 *Volume of contrast infused.
 *Provocation with standing or coughing.

@@ Line 29: / Line 29: @@
 *Catheter tip location
 *Any visible hydronephrosis or hydroureter
-*Location of the most distal part reached by contrast
+*Location of the most distal part reached by contrast, or caliber change
 *Even absence of leakage