NAME OF COURSE: RAD 106 - RADIOGRAPHIC PROCEDURES II UNIT DESCRIPTION: UNIT 4: Urinary System REQUIRED TEXTBOOKS: Merrill’s Atlas of Radiographic Procedures and Radiologic Procedures, (12th Ed.) Frank ADDITIONAL REFERENCES: See course syllabus PRESENTATION: Lecture, discussion, demonstration, simulation ASSIGNMENTS: 1. 2. 3. 4. UNIT EVALUATION: Unit Evaluation Lab Evaluation Merrill’s, Vol. 2 Complete Workbook Complete Situations Lab simulations UNIT OBJECTIVES: Upon completion of this unit, the student will be able to: 1. Identify the location and pertinent anatomy of the urinary system to include the adrenal glands. 2. Identify specific structures of the macroscopic and microscopic anatomy and physiology of the kidney. 3. Identify the orientation of the kidneys, ureters, and urinary bladder with respect to the peritoneum and other structures of the abdomen. 4. List the primary functions of the urinary system. 5. Describe the spatial relationship between the male and female reproductive system and the urinary system. 6. On drawings and radiographs, identify specific anatomy of the urinary system. 7. Identify key lab values and drug concerns that must be verified prior to intravenous injections of contrast media. 8. Identify characteristics specific to either ionic or nonionic contrast media. 9. Describe the four categories of contrast media reactions and symptoms specific to each type of reaction. 10. Differentiate between mild, moderate, and severe levels of contrast media reactions and from side effects to iodinated contrast media. 11. Identify the steps and safety measure to be observed during a venipuncture procedure. 12. List safety measures to be followed before and during the infection of an iodinated contrast media. 13. Define specific urinary pathologic terminology and indicators. 14. Match specific types of urinary pathology to the correct radiographic appearances and signs. 1 15. List the purpose, contraindications, and ten high-risk patient conditions for intravenous Urography. 16. Identify two methods used to enhance pelvicalyceal filling during intravenous urography and contraindications for their use. 17. Explain the difference between a nephrogram and a nephrotomogram. 18. Identify specific aspects related to the retrograde urogram and how this procedure differs from an intravenous urogram (IVU). 19. Identify specific aspects related to the retrograde cystogram. 20. Identify specific aspects related to the retrograde urethrogram. 21. List specific information related to the basic and special projections for excretory urography, retrograde urography, cystography, urethrography, and voiding cystourethrography to include: 1) size and type of image receptor, 2) central ray location, 3) direction and angulation of central ray, and 4) anatomy best visualized. 22. Given various hypothetical situations, identify the correct modification of a position and/or exposure factors to improve the radiographic image. 23. Using a peer, position for basic and special projections for an intravenous urogram procedure. 24. Critique and evaluate urinary study radiographs based on the four divisions of radiographic criteria: 1) structures showed, 2) position, 3) collimation and CR, and 4) exposure criteria. 25. Distinguish between acceptable and unacceptable urinary study radiographs based on exposure factors, motion, collimation, positioning, or other errors. This workforce solution was funded by a grant awarded under the President’s Community Based Job Training Grants initiative as implemented by the U.S. Department of Labor’s Employment and Training Administration. The solution was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. This solution is copyrighted by the institution that created it. Internal use by an organization and/or personal use by an individual for non-commercial purposes is permissible. All other uses require the prior authorization of the copyright owner. 2 3