Paediatric Renal Tract

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 A length measurement in each plane Record the longest good measurement Plot renal lengths on chart Transverse views Upper pole Mid - through renal hilum Lower pole

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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