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nw8part4instructions.docx
NSG120Week8RenalandUrologicTestDiagnosticTestGrid2022.docx

nw8part4instructions.docx

Please use the documents below to complete the following activities:

Complete Gray Boxes and Highlighted Areas.

Submit to the Canvas Dropbox.

Submissions must be handwritten.

NSG120Week8RenalandUrologicTestDiagnosticTestGrid2022.docx

Renal and Urologic System Diagnostic Test Grid

Name_________________________

Instructions: Complete Gray Boxes. Submit to the Canvas Dropbox. Submissions must be handwritten.

Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
Cystoscopy	Endoscopic Study	Normal structure and function of the urethra, bladder, ureters, and prostate (in males)	Commonly performed for patients with hematuria, recurrent or resistant urinary tract infections, or other urinary symptoms. Used to evaluate patients with suspected pathologic conditions of the urethra, bladder, and lower ureters.	Inability to remain still (due to pain or mental status).	Lower urologic tract tumors- bladder cancers and polyps. Bladder or ureter stones, prostatic hypertrophy, prostate cancer, inflammation of the bladder and urethra, urethral, ureteral stricture
Serum Albumin
KUB Kidneys Ureters Bladder a.k.a. flat plate of the abdomen
Pyelography	X-ray study	Normal size, shape, and position of the kidneys, renal pelvis, ureters, & bladder. Normal kidney excretory function	Pain compatible with urinary stones, blood in the urine, proposed pelvic surgery to locate the ureters, trauma to the urinary system, urinary output obstruction, or a suspected kidney tumor	Fecal material, gas, retained barium in the bowel, or abnormal renal function may obscure findings. Allergies to iodine/shellfish, severe dehydration, renal insufficiency, multiple myeloma, contraindications	An x-ray study that uses radiopaque contrast material to visualize the structures. Contrast can be injected intravenously, through a catheter in the ureter (retrograde pyelography) or through a catheter in the proximal renal collecting system (antegrade pyelography) Findings can include pyelonephritis or glomerulonephritis, tumors, stones, trauma, or prostate enlargement
Cystography	X-ray study	Normal bladder structure and function	Used in patients with hematuria, recurrent UTIs, and suspected bladder trauma	Urethral or bladder infection or injury. Can cause worsening of existing bladder injury due to instillation of dye into the bladder.	Bladder tumor (Primary cancers can be seen), pelvic tumor or hematoma, bladder trauma (laceration or perforation of the bladder would show dye outside of the bladder), vesicoureteral reflux (reflux of urine or dye from the bladder into the ureter)
Urinalysis	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Urine Culture & sensitivity	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
24-hour urine	Urine	Varies depending on which component is being looked at	Helps to diagnose kidney problems- measures protein, hormones, minerals and other chemical compounds	Certain foods (coffee, tea, cocoa, bananas, citrus fruits), acute stress, vigorous exercise, not keeping urine cold while collecting it, losing urine from the collection Information obtained from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/24hour-urine-collection	The patient is instructed to void and discard the first specimen of the day- this is noted as the start time of the 24-hour period. All urine for the next 24 hours is collected. Some analytes are excreted at different rates throughout the day/night and may be missed with random urine specimens.
Blood urea nitrogen (BUN)
Serum Creatinine
Creatinine Clearance
Serum Electrolytes	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Renal Angiogram	X-ray Study	Normal arterial vasculature	To evaluate arterial occlusive disease of the adrenal gland and kidneys	Allergies to shellfish or dye Uncooperative or agitated Pregnancy Renal Disorders Dehydration Unstable cardiac disorders	Provides an accurate picture of the vascular anatomy of the structures Involves the injection of radiopaque contrast dye into the arteries

NSG120Week8RenalandUrologicTestDiagnosticTestGrid2022.docx

Renal and Urologic System Diagnostic Test Grid

Name_________________________

Instructions: Complete Gray Boxes. Submit to the Canvas Dropbox. Submissions must be handwritten.

Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
Cystoscopy	Endoscopic Study	Normal structure and function of the urethra, bladder, ureters, and prostate (in males)	Commonly performed for patients with hematuria, recurrent or resistant urinary tract infections, or other urinary symptoms. Used to evaluate patients with suspected pathologic conditions of the urethra, bladder, and lower ureters.	Inability to remain still (due to pain or mental status).	Lower urologic tract tumors- bladder cancers and polyps. Bladder or ureter stones, prostatic hypertrophy, prostate cancer, inflammation of the bladder and urethra, urethral, ureteral stricture
Serum Albumin
KUB Kidneys Ureters Bladder a.k.a. flat plate of the abdomen
Pyelography	X-ray study	Normal size, shape, and position of the kidneys, renal pelvis, ureters, & bladder. Normal kidney excretory function	Pain compatible with urinary stones, blood in the urine, proposed pelvic surgery to locate the ureters, trauma to the urinary system, urinary output obstruction, or a suspected kidney tumor	Fecal material, gas, retained barium in the bowel, or abnormal renal function may obscure findings. Allergies to iodine/shellfish, severe dehydration, renal insufficiency, multiple myeloma, contraindications	An x-ray study that uses radiopaque contrast material to visualize the structures. Contrast can be injected intravenously, through a catheter in the ureter (retrograde pyelography) or through a catheter in the proximal renal collecting system (antegrade pyelography) Findings can include pyelonephritis or glomerulonephritis, tumors, stones, trauma, or prostate enlargement
Cystography	X-ray study	Normal bladder structure and function	Used in patients with hematuria, recurrent UTIs, and suspected bladder trauma	Urethral or bladder infection or injury. Can cause worsening of existing bladder injury due to instillation of dye into the bladder.	Bladder tumor (Primary cancers can be seen), pelvic tumor or hematoma, bladder trauma (laceration or perforation of the bladder would show dye outside of the bladder), vesicoureteral reflux (reflux of urine or dye from the bladder into the ureter)
Urinalysis	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Urine Culture & sensitivity	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
24-hour urine	Urine	Varies depending on which component is being looked at	Helps to diagnose kidney problems- measures protein, hormones, minerals and other chemical compounds	Certain foods (coffee, tea, cocoa, bananas, citrus fruits), acute stress, vigorous exercise, not keeping urine cold while collecting it, losing urine from the collection Information obtained from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/24hour-urine-collection	The patient is instructed to void and discard the first specimen of the day- this is noted as the start time of the 24-hour period. All urine for the next 24 hours is collected. Some analytes are excreted at different rates throughout the day/night and may be missed with random urine specimens.
Blood urea nitrogen (BUN)
Serum Creatinine
Creatinine Clearance
Serum Electrolytes	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Renal Angiogram	X-ray Study	Normal arterial vasculature	To evaluate arterial occlusive disease of the adrenal gland and kidneys	Allergies to shellfish or dye Uncooperative or agitated Pregnancy Renal Disorders Dehydration Unstable cardiac disorders	Provides an accurate picture of the vascular anatomy of the structures Involves the injection of radiopaque contrast dye into the arteries

nw8part4instructions.docx

Please use the documents below to complete the following activities:

Complete Gray Boxes and Highlighted Areas.

Submit to the Canvas Dropbox.

Submissions must be handwritten.

NSG120Week8RenalandUrologicTestDiagnosticTestGrid2022.docx

Renal and Urologic System Diagnostic Test Grid

Name_________________________

Instructions: Complete Gray Boxes. Submit to the Canvas Dropbox. Submissions must be handwritten.

Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
Cystoscopy	Endoscopic Study	Normal structure and function of the urethra, bladder, ureters, and prostate (in males)	Commonly performed for patients with hematuria, recurrent or resistant urinary tract infections, or other urinary symptoms. Used to evaluate patients with suspected pathologic conditions of the urethra, bladder, and lower ureters.	Inability to remain still (due to pain or mental status).	Lower urologic tract tumors- bladder cancers and polyps. Bladder or ureter stones, prostatic hypertrophy, prostate cancer, inflammation of the bladder and urethra, urethral, ureteral stricture
Serum Albumin
KUB Kidneys Ureters Bladder a.k.a. flat plate of the abdomen
Pyelography	X-ray study	Normal size, shape, and position of the kidneys, renal pelvis, ureters, & bladder. Normal kidney excretory function	Pain compatible with urinary stones, blood in the urine, proposed pelvic surgery to locate the ureters, trauma to the urinary system, urinary output obstruction, or a suspected kidney tumor	Fecal material, gas, retained barium in the bowel, or abnormal renal function may obscure findings. Allergies to iodine/shellfish, severe dehydration, renal insufficiency, multiple myeloma, contraindications	An x-ray study that uses radiopaque contrast material to visualize the structures. Contrast can be injected intravenously, through a catheter in the ureter (retrograde pyelography) or through a catheter in the proximal renal collecting system (antegrade pyelography) Findings can include pyelonephritis or glomerulonephritis, tumors, stones, trauma, or prostate enlargement
Cystography	X-ray study	Normal bladder structure and function	Used in patients with hematuria, recurrent UTIs, and suspected bladder trauma	Urethral or bladder infection or injury. Can cause worsening of existing bladder injury due to instillation of dye into the bladder.	Bladder tumor (Primary cancers can be seen), pelvic tumor or hematoma, bladder trauma (laceration or perforation of the bladder would show dye outside of the bladder), vesicoureteral reflux (reflux of urine or dye from the bladder into the ureter)
Urinalysis	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Urine Culture & sensitivity	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
24-hour urine	Urine	Varies depending on which component is being looked at	Helps to diagnose kidney problems- measures protein, hormones, minerals and other chemical compounds	Certain foods (coffee, tea, cocoa, bananas, citrus fruits), acute stress, vigorous exercise, not keeping urine cold while collecting it, losing urine from the collection Information obtained from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/24hour-urine-collection	The patient is instructed to void and discard the first specimen of the day- this is noted as the start time of the 24-hour period. All urine for the next 24 hours is collected. Some analytes are excreted at different rates throughout the day/night and may be missed with random urine specimens.
Blood urea nitrogen (BUN)
Serum Creatinine
Creatinine Clearance
Serum Electrolytes	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Renal Angiogram	X-ray Study	Normal arterial vasculature	To evaluate arterial occlusive disease of the adrenal gland and kidneys	Allergies to shellfish or dye Uncooperative or agitated Pregnancy Renal Disorders Dehydration Unstable cardiac disorders	Provides an accurate picture of the vascular anatomy of the structures Involves the injection of radiopaque contrast dye into the arteries

NSG120Week8RenalandUrologicTestDiagnosticTestGrid2022.docx

Renal and Urologic System Diagnostic Test Grid

Name_________________________

Instructions: Complete Gray Boxes. Submit to the Canvas Dropbox. Submissions must be handwritten.

Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
Cystoscopy	Endoscopic Study	Normal structure and function of the urethra, bladder, ureters, and prostate (in males)	Commonly performed for patients with hematuria, recurrent or resistant urinary tract infections, or other urinary symptoms. Used to evaluate patients with suspected pathologic conditions of the urethra, bladder, and lower ureters.	Inability to remain still (due to pain or mental status).	Lower urologic tract tumors- bladder cancers and polyps. Bladder or ureter stones, prostatic hypertrophy, prostate cancer, inflammation of the bladder and urethra, urethral, ureteral stricture
Serum Albumin
KUB Kidneys Ureters Bladder a.k.a. flat plate of the abdomen
Pyelography	X-ray study	Normal size, shape, and position of the kidneys, renal pelvis, ureters, & bladder. Normal kidney excretory function	Pain compatible with urinary stones, blood in the urine, proposed pelvic surgery to locate the ureters, trauma to the urinary system, urinary output obstruction, or a suspected kidney tumor	Fecal material, gas, retained barium in the bowel, or abnormal renal function may obscure findings. Allergies to iodine/shellfish, severe dehydration, renal insufficiency, multiple myeloma, contraindications	An x-ray study that uses radiopaque contrast material to visualize the structures. Contrast can be injected intravenously, through a catheter in the ureter (retrograde pyelography) or through a catheter in the proximal renal collecting system (antegrade pyelography) Findings can include pyelonephritis or glomerulonephritis, tumors, stones, trauma, or prostate enlargement
Cystography	X-ray study	Normal bladder structure and function	Used in patients with hematuria, recurrent UTIs, and suspected bladder trauma	Urethral or bladder infection or injury. Can cause worsening of existing bladder injury due to instillation of dye into the bladder.	Bladder tumor (Primary cancers can be seen), pelvic tumor or hematoma, bladder trauma (laceration or perforation of the bladder would show dye outside of the bladder), vesicoureteral reflux (reflux of urine or dye from the bladder into the ureter)
Urinalysis	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Urine Culture & sensitivity	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Name of Test	Test Type	Normal Adult Findings	Indications for Test	Interfering Factors	Clinical Significance of Findings
24-hour urine	Urine	Varies depending on which component is being looked at	Helps to diagnose kidney problems- measures protein, hormones, minerals and other chemical compounds	Certain foods (coffee, tea, cocoa, bananas, citrus fruits), acute stress, vigorous exercise, not keeping urine cold while collecting it, losing urine from the collection Information obtained from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/24hour-urine-collection	The patient is instructed to void and discard the first specimen of the day- this is noted as the start time of the 24-hour period. All urine for the next 24 hours is collected. Some analytes are excreted at different rates throughout the day/night and may be missed with random urine specimens.
Blood urea nitrogen (BUN)
Serum Creatinine
Creatinine Clearance
Serum Electrolytes	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid	See Basic Diagnostic Test Grid
Renal Angiogram	X-ray Study	Normal arterial vasculature	To evaluate arterial occlusive disease of the adrenal gland and kidneys	Allergies to shellfish or dye Uncooperative or agitated Pregnancy Renal Disorders Dehydration Unstable cardiac disorders	Provides an accurate picture of the vascular anatomy of the structures Involves the injection of radiopaque contrast dye into the arteries

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