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Related Concept Videos

Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

Imaging Studies I: Kidney, Ureter, and Bladder Studies

Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Nephrons

The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma happens...
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Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
External Anatomy of the Kidney01:21

External Anatomy of the Kidney

The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
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Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Structure

The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.

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In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
09:31

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses

Published on: March 30, 2015

Developments in kidney tumor nephrometry.

Gregory Lieser1, Matthew N Simmons

  • 1Department of Urological Oncology, Glickman Urologic and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

Postgraduate Medicine
|May 14, 2011
PubMed
Summary
This summary is machine-generated.

Three new nephrometry scoring systems (R.E.N.A.L., PADUA, C-index) offer objective preoperative assessment for partial nephrectomy. These systems standardize the evaluation of renal tumor anatomy, aiding surgical planning and reporting.

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Area of Science:

  • Urologic Oncology
  • Radiology
  • Surgical Planning

Background:

  • Computed tomography (CT) imaging leads to incidental detection of most renal tumors, often at lower stages.
  • Partial nephrectomy is the preferred treatment for smaller, organ-confined renal tumors.
  • Partial nephrectomy is technically challenging, with difficulty influenced by tumor characteristics.

Purpose of the Study:

  • To review the R.E.N.A.L., PADUA, and C-index nephrometry systems.
  • To compare the similarities and differences between these objective preoperative assessment methodologies.
  • To discuss the clinical relevance and academic reporting implications of these nephrometry systems.

Main Methods:

  • Review of existing literature on nephrometry systems for renal tumors.
  • Analysis of the R.E.N.A.L., PADUA, and C-index scoring systems.
  • Comparison of subjective versus objective methods for assessing tumor resectability.

Main Results:

  • Three distinct nephrometry systems (R.E.N.A.L., PADUA, C-index) provide objective anatomical assessment of renal tumors.
  • These systems standardize the evaluation of factors like tumor size, depth, location, and proximity to critical kidney structures.
  • Objective scoring aids in predicting surgical difficulty and standardizing academic reporting.

Conclusions:

  • Nephrometry systems offer a standardized, objective approach to preoperative renal tumor assessment.
  • These systems enhance the planning and reporting of partial nephrectomy procedures.
  • Adoption of these methodologies can improve consistency in urologic oncology practice.