Ultrasound scanning guidelines for paediatric renal tract
Kidneys
Assess:
- Assess each kidney in two longitudinal planes at 90 degrees to one another
- Renal length
- Renal contour
- Parenchymal echotexture / echogenicity
- Collecting system
- Adrenal region
- Peri-nephric area
Documentation:
- Three images in each longitudinal plane
- Lateral / mid / medial for long plane
- Anterior / mid / posterior for coronal plane
- Longitudinal axis measurement
- aA length measurement in each plane
- recordRecord the longest good measurement
- plotPlot renal lengths on chart
- Transverse views
- Upper pole
- Mid - through renal hilum
- Lower pole
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Bladder
Assess:
- Bladder contour and wall
- Bladder pre and post void capacity
- Adnexal regions, Pouch of Douglas
- Distal ureters, ureteric ridge
Documentation:
- Longitudinal view Right / Mid / Left
- Transverse view Inferior /Mid / Superior
- Longitudinal view of ureteric orifice +/- distal ureter - Right and Left
- Pre-void volume measurement
- Post-void residual measurement
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