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At least 1,153 records · Page 64Linked to original sources
PubMed1976

The role of emergency excretory urography in evaluation of blunt, abdominal trauma.

In our hospital, patients seen for blunt, abdominal trauma have an "emergency" urogram. The results of our review of 209 such patients with complete urographic evaluations indicate that (1) the clinical examination, urinalysis, and plain abdominal roentgenogram do not reliably allow one to predict which patients would show urographic abnormalities and (2) the clinical management of these patients is rarely altered by the knowledge of the results of the urogram.

Abdominal Injuries↗
PubMed1976

High dose urography: incidence and relationship to spontaneous peripelvic extravasation.

A prospective study was undertaken to determine the incidence of spontaneous extravasation of contrast in 82 patients with acute renal colic. The extravasation rate among 37 patients receiving 75 ml of contrast was 8.1%, while the rate among 45 patients receiving either 300 ml of 30% solution by infusion or a 140 ml bolus dose was 24.4%; overall the rate was 17%. Thus the incidence of extravasation was shown to increase with higher doses of contrast media. The primary dose in acute renal colic or other forms of obstructive uropathy should be in the low range (20-25 g 1-); reinjection after screening can be undertaken if necessary.

Colic↗
PubMed1977

Inferior vena caval occlusion: characteristic radiographic changes on excretory urography and barium enema examination.

Acute occlusion of the inferior vena cava produces characteristic radiographic findings on intravenous urogram and barium enema examination. The urinary bladder is compressed anteriorly and superiorly giving an inverted pear-shaped appearance, and the distal ureters are medially displaced. Barium enema examinations demonstrate narrowing and elevation of the rectosigmoid region along with an increase in the presacral space. Four cases are described to illustrate the usefulness of these findings in suggesting the correct diagnosis.

Adult↗
PubMed1977

Double-blind comparison of meglumine iodamide and Renografin-60 for excretory urography.

A double blind comparison of meglumine iodamide and Renografin-60 in bolus intravenous pyelography, using 50 ml of contrast or less, was conducted in 78 patients. Meglumine iodamide produced more dense opacifications, but it also produced a greater number of laboratory abnormalities. All were transient and mild. No serious abnormalities resulted from the use of either agent.

Adult↗
PubMed1978

Effect of screen/film combinations on diagnostic certainty: Hi-Plus/RPL versus Lanex/Ortho G in excretory urography.

A method using radiologists' subjective judgments was developed to compare the quality of the diagnostic image information from two different screen/film combinations (Hi Plus/RPL versus Lanex/Ortho G). A sample of 148 comparison film pairs was obtained in the course of performing 74 urograms using the two film/screen combinations. Each film pair was evaluated by three radiologists, using a blind film-reading format, in regard to:(1) anatomic diagnostic criteria visualization; (2) radiologic diagnostic certainty; (3) presence or absence of quantum mottle; and (4) prediction of which film of a pair was the rare earth screen/film combination. There was a significant difference favoring Hi Plus/RPL in perceived quality of visualization of anatomic criteria. However, the difference was more of statistical rather than practical importance. Diagnostic certainty differed only marginally and slightly favored the Hi Plus/RPL combination. No signficant differences in perception of quantum mottle were attributable to either screen/film combination. Radiologists were able to correctly identify the screen/film combination a significant proportion of the time. Radiation exposure with the Lanex/Ortho G combination was about half that with the Hi Plus/RPL combination. In this study, this would seem to constitute the major factor in film/screen selection.

Adult↗
PubMed1978

Drip infusion urography with meglumine iodamide.

In a double-blind study of 283 patients (140 given iodamide and 143 diatrizoate), meglumine iodamide 24% produced a significantly greater degree of opacification than meglumine diatrizoate 30% (P less than 0.01 to P less than 0.001) in the renal calyces during the early phase of drip infusion pyelography. The agents were infused at a dose of 4.5 ml/kg, up to a maximum volume of 300 ml, over a period of about 10 min. The incidence and nature of laboratory abnormalities and clinical adverse reactions produced by the drugs were similar. No severe reactions occurred. The apparent superiority of the iodamide solution in the early stage of excretion, despite its lower iodine content, may be due to the partial secretion of iodamide by the renal tubules, as observed in other studies.

Adolescent↗
PubMed1987

Urography and voiding cystourethrography: findings in girls with urinary tract infection.

The voiding cystourethrogram and excretory urogram have been considered essential parts of the evaluation of girls with urinary tract infections. To evaluate the usefulness of these procedures, 523 examinations in girls with urinary tract infections were reviewed retrospectively. The major finding on voiding cystourethrograms was vesicoureteral reflux, occurring in 36% of the children. Of the total group, 8% had excretory urographic evidence of parenchymal scarring. Higher grades of reflux were associated with an increase in parenchymal scarring. All urethras were normal, and only one paraureteral diverticulum was identified. Bladder emptying was incomplete in 46% of the patients. Ovarian radiation doses were measured with "low-dose" and standard systems. On the basis of this study, traditional approaches to the standard workup are questioned.

Adolescent↗