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Dr. Muşturay Karçaaltıncaba Kardiyovasküler ve Abdominal Radyoloji Bölümü HACETTEPE RADYOLOJİ UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE

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Page 1: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

Dr. Muşturay Karçaaltıncaba

Kardiyovasküler ve Abdominal Radyoloji Bölümü

HACETTEPE RADYOLOJİ

UNUTULAN DİREK ÜRİNER GRAFİ

VE IVP’DEN US’YE

Page 2: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

SERÜVEN

• DİREK GRAFİ

• IVP

• US

• İLGİNÇ OLGULAR

• GELECEK

Page 3: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

DİREK KARIN GRAFİSİ

Page 4: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 5: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 6: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 7: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 8: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 9: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

IVP NEDEN ÖLDÜ?

• BÖBREKLERDE KÖRDÜK

– KİTLELERİ ATLIYORDUK

• SÜZMEYEN BÖBREK

• KONTRAST VERİYORDUK

• DAKİKALIK İVP

• 2BOYUTLU TETKİKLE 3 BOYUTLU DÜNYA

• NE NEREYE AÇILIYOR BİLMİYORDUK

Page 10: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 11: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

MR UROGRAFİ

Page 12: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

BT UROGRAFİ

Page 13: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 14: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 15: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 16: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

17Y K, DAMLAMA

Page 17: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 18: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 19: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

HEMATÜRİ

Page 20: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 21: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 22: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

KALİSİYEL DİVERTİKÜL

Page 23: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

ULTRASONOGRAFİ

• BOYUT

• EKOJENİTE

• TAŞ

• MEDÜLLER NEFROKALSİNOZİS

• VASKÜLER YAPILAR

• KİST, ANJİYOMYOLİPOM

Page 24: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

TAŞ

Page 25: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

ULTRASONOGRAFİ

Page 26: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

TS

Page 27: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

ULTRASONOGRAFİ KÖR MÜDÜR?

• PERFÜZYON DEĞİŞİKLİKLERİ

• BASİT KİST DIŞINDAKİ KİSTLER

• PARENKİMAL DEPO Hx

• OBEZ HASTALAR

Page 28: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

ENFARKT

Page 29: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

SANAL ANJİYOSKOPİ – OLGU 1 52 Y ERKEK AĞRI…

Page 30: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

POLİKİSTİK HASTALIK

Page 31: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

PARAPELVİK KİSTLER

Page 32: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

KORTİKAL NEKROZ - FİBROZİS

Page 33: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

PAROKSİZMAL NOKTURNAL HBÜRİ

Page 34: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

HİPERTANSİYON

Page 35: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection
Page 36: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

GELECEK

• DİFÜZYON AĞIRLIKLI GÖRÜNTÜLEME

• OKSİJENASYON

• PERFÜZYON

• DAHA KANTİTATİF

Page 37: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

SERÜVEN

• DİREK GRAFİ

• IVP

• US

• İLGİNÇ OLGULAR

• GELECEK

Page 38: UNUTULAN DİREK ÜRİNER GRAFİ VE IVP’DEN US’YE · September 2011. The sensitivity of US to detect each individual stone and at least 1 stone per kidney was evaluated. The detection

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