Renal Ultrasound
Renal Basics
Renal In Depth
Indications
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Concern for obstructive uropathy as cause of AKI
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Assessment of bladder volume to evaluate for urinary retention
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Assessment of Ascites Volume
Clinical Questions
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Is there hydronephrosis? Is it Bilateral or unilateral?
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Is the bladder distended?
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Is there ascites? How much?
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Is there free fluid in the peritoneum: hepatorenal recess, splenorenal recess, subdiaphragmatic, rectovesicular/rectouterine space
Documentation
Limited Abdominal Ultrasound performed by "provider"
Indication: Ascites, Assessment of Bladder Volume for Urinary Retention, Evaluate for Obstructive Uropathy, evaluate for intra-abdominal free fluid
Interpretation/Documentation:
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No e/o hydronephrosis,
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+intrabdominal free fluid in RLQ/LLQ and hepatorenal space
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no e/o urinary retention
Image archived in the medical record, see IMPAX