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Diagnostic Imaging Pathways - Acute or Acute on Chronic Renal Failure

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Teaching Points

  • Ultrasound is the modality of choice and is used to exclude obstructive uropathy and to assess renal size and contour.
  • In the absence of obstruction and evidence of pre-renal failure, the size and contour of the kidneys can be useful to assess the underlying cause of the renal failure.
  • Further imaging in non-obstructive uropathy depends on the provisional diagnosis. For example Doppler US may be used to assess for renal artery stenosis.

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