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

KidneyKidney

Bladder

Good film

Entire kidneys to bladder and symphysis pubis(might need two 14 x17 crosswise)No rotationAbdomen technique to see soft tissue

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

The IVP exam can detect problems within the urinary tract resulting from:kidney stones enlarged prostate tumors in the kidney, ureters or urinary bladderfunction problems

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

ladder

Renalelvis

*Ureter

Calyx

Calyx

IVP FILMSKUB (scout)Tomogram (scout) 10 x12 cw or 11x14 cwContrast givenImmediate film over kidneys 10 x12 cw or 11x14 cw3 kidney tomograms (7cm, 8cm,9cm)5 min 14 x17lw AP (full film)7,8 min 14 x17 lw LPO and RPO10 min 14 x 17 lw PA (full film)AP 14 x 17 lw uprightShow films

Could ask for voiding films or spotsPost Void AP 8 x10 cw over the bladderPost Void LPO and RPO for UV junction

Films

All 14 x 17 films need kidneys, ureters and bladder on the filmAll 10x12 films need the kidneys onAll 8 x10 films need all of the bladder on

Good film

No motion on films * except tomogramsSpine down center of filmMark films with time, cm, scout, upright, postvoid and R and L markers

RPO/LPO

30 Degrees obliquityRPO shows Rt kidney and ureterLPO shows the Lt kidney and ureter

Bladder films RPO/ LPO (10-15 degrees)RPO demonstrates the left UV LPO demonstrates the right UV

Shows rt Kidney and ureter Shows Lt UV

RPO

LPO

Shows RtUV

Shows LT Kidney & ureter