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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Imaging Studies III: Computed Tomography01:27

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

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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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Imaging Studies IV: Magnetic Resonance Imaging01:27

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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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Clinics in diagnostic imaging (199). Pyometra.

Wei Ming Ian Tay1, Manickam Subramanian1, Dinesh Chinchure2

  • 1Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.

Singapore Medical Journal
|October 2, 2019
PubMed
Summary
This summary is machine-generated.

A 92-year-old woman presented with urinary symptoms and fever. Computed tomography revealed pyometra, a uterine infection, characterized by fluid and gas within the uterine cavity.

Keywords:
endometritisinfectionpostmenopausal bleedingpyometra

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Area of Science:

  • Geriatric Medicine
  • Radiology
  • Gynecology

Background:

  • Pyometra is a rare condition involving uterine cavity distension with pus.
  • Prompt diagnosis is crucial, especially in elderly patients presenting with non-specific symptoms.

Observation:

  • A 92-year-old female presented with urinary symptoms, fever, and suprapubic tenderness.
  • Elevated inflammatory markers were noted, but urine and blood cultures were negative.
  • Computed tomography (CT) demonstrated a distended uterine cavity with high-attenuation fluid, an air-fluid level, and gas locules.

Findings:

  • CT imaging is vital for diagnosing pyometra, revealing characteristic features within the uterine cavity.
  • The imaging findings in this case strongly suggested pyometra, despite negative cultures.
  • The presentation highlights the importance of considering pyometra in elderly women with sepsis symptoms.

Implications:

  • This case underscores the utility of CT in identifying pyometra, even with atypical presentations.
  • Understanding the imaging features of pyometra aids in timely diagnosis and management.
  • Further research into the causes and optimal treatment strategies for pyometra in the geriatric population is warranted.