Renal, Ultrasound Basics, Ultrasound Tutorials Vi Dinh
Primary Authors: Jade Deschamps, Vi Dinh; Co-authors: Jessica Ahn, Satchel Genobaga,
Annalise Lang, Victor Lee, Reed Krause, Devin Tooma, Seth White. Oversight, Review, and Final
Edits by Vi Dinh (POCUS 101 Editor).
Renal ultrasound provides a fast, cost-effective, and radiation-free alternative to CT scans for
the initial workup of patients with renal complaints.
In this post we will show you how to use Point of Care Ultrasound to:
, 1. Perform Renal Ultrasound in a Step-by-Step Protocol
2. Easily Grade Hydronephrosis
3. Evaluate for Renal/Kidney Stones with Ultrasound vs CT Scan
4. Evaluate other Renal Ultrasound Pathology (Renal Cysts and Masses)
5. Perform Renal Hemodynamics (Renal Resistive Index and Intrarenal Venous Doppler)
We also made a Renal Ultrasound Hydronephrosis Grading PDF Pocket card you can
download as a reference!
Table of Contents
1. Hydronephrosis POCKET CARD PDF
2. Renal Ultrasound Indications
3. Renal Ultrasound Preparation
3.1. Patient Preparation
3.2. Ultrasound Machine Preparation
4. Kidney/Renal Ultrasound Anatomy
5. Step-by-Step Renal Ultrasound Protocol
5.1. Step 1: RIGHT Kidney Ultrasound Longitudinal View
5.2. Step 2: RIGHT Kidney Ultrasound Transverse View
5.3. Step 3: LEFT Kidney Ultrasound Longitudinal View
5.4. Step 4: LEFT Kidney Ultrasound Transverse View
6. Renal Ultrasound Pathology
6.1. Hydronephrosis Ultrasound Grading
6.2. Hydronephrosis Mimics
6.3. Ureteral/Kidney Stones (Nephrolithiasis)
6.4. Renal Cysts
6.5. Renal Masses
7. Renal Hemodynamics
7.1. Step 1: Place Color Flow Doppler on the Kidney.
7.2. Step 2: Place pulse wave Doppler gate interlobar vessels and activate Doppler
7.3. Renal Resistive Index (RRI)
7.4. Renal Venous Congestion
8. References
Hydronephrosis POCKET CARD PDF
One of the most common reasons to perform POCUS is to evaluate for hydronephrosis. So
,we made a Free Renal Ultrasound PDF Pocket card below to easily grade Hydronephrosis!
Just click to download!
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, Renal Ultrasound Indications
Unilateral 몭ank pain, low back pain, lower abdominal pain, or groin pain
Undifferentiated abdominal, 몭ank, groin, or genital pain
Dysuria (pain with urination)
Hematuria
Anuria or Oliguria (decreased urinary output)
Urinary incontinence or problems voiding
Renal Ultrasound Preparation
Patient Preparation
The patient will lie supine.
If you are having di몭culty getting views you can have the patient sit up and scan
posteriorly or have them lay in the left/right lateral decubitus positions.
Ultrasound Machine Preparation
Transducer: Curvilinear Ultrasound Probe or Phased Array Probe.
Preset: Abdominal or Renal
Machine Placement: Place the machine on the patient’s right side so you can scan
with your right hand and manipulate ultrasound buttons with your left hand.