Maybe she was born with it
Slide 6 - In this congenital malformation, the ascension of the kidneys is halted by what vessel
IMA
Slide 10 - Grade the Fracture
Grade 2
Slide 11
Slide 15 - Name the path and prognosis
Microlithiasis
No f/u needed
Slide 25 - What is the Bosniak classification?
4
Slide 23 - What is the diagnosis?
Seminal Vesicle Abscess
Horseshoe kidneys are associated with an increased rate of 3 urologic pathologies
1. Malignancy (UC, Wilms)
2. UPJ Obstruction
3. Nephrolithiasis
Slide 12 - Next Step?
Extraperitoneal perf - Catheter
1. Catheter occlusion
2. Bladder neck injury
3. Vaginal/rectal injury
4. Planned internal fixation
5. Bone fragments in bladder
Normal/Abnormal
Followup imaging?
Abnormal
CT Chest/Abdomen/Pelvis w/ contrast
Slide 26 - What's the Dx
Xanthogranulomatous Pyelonephritis
Slide 20 - What is the diagnosis?
Emphysematous pyelitis
Explain the Weigert-Meyer Rule
Slide 7 - The upper moiety ectopically inserts medial and inferior to the lower pole moiety and frequently ends in a ureterocele.
The lower pole moiety has an orthotopic insertion lateral and superior to the ureter draining upper pole. Classically, reflux occurs up this ureter.
Blood at meatus following fall - Next step
Retrograde Urethrogram - Slide 13
3 Most Common Risk Factors Testicular Cancer
1. Undescended Teste
2. Family Hx
3. Prior Testicular Cancer
What does the PSMA stand for in PSMA-PET
Prostate Specific Membrane Antigen
Slide 21 - What is the diagnosis
Emphysematous pyelonephritis
Slide 8 - Name that Anomaly. Continent or incontinent?
Ectopic Ureter
Continent
Slide 13 - Whats the pathology
Hematocele
What is the half-life of AFP, b-HCG, LDH
AFP 5–7 days
hCG 24–36 hours
LDH Varies, ~24 hrs
Slide 27 - What is the Diagnosis
Uretero-Vesical fistula
Slide 22 - What is the diagnosis?
Normal air 2/2 catheter
Lobar nephronia
Slide 9 - Name that anomaly
Crossed fused renal ectopia
Slide 14 - A 21-year-old male presented to the emergency department for evaluation of testicular pain and swelling 5 days after being struck in the groin. He had no pain for the first few days after his trauma and his pain was controlled in the emergency department during consultation. He was nontender on exam. He had a scrotal ultrasound (Figure) that was concerning for possible testicular rupture with hematoma by read at the outside hospital. What is of most significant concern for this patient?
A. Testicular rupture
B. Testicular malignancy
C. Infected hematocele
D. Complex hydrocele
Malignancy
Slide 18 - Normal/Abnormal
Abnormal para-aortic lymph node
Slide 19 - Find the anatomic anomaly
Retrocaval renal artery
Slide 24 - Read the scan and make a plan
"severe right hydroureteronephrosis with significantly dilated renal pelvis and urothelial hyperenhancement, concerning for associated right pyonephrosis"