To Pee or not to Pee?

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To Pee or not to Pee?
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What is this and what do you see?
Over time ? ? ?
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Nuclear Isotope Cystogram
Rabbit ears
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Technetium 99m

• Used in this study
• Picked up with a gamma camera
• Easier isotope to make

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Vesicoureteral Reflux (VUR)

• Urine is only supposed to drain from kidney
  ?bladder, not the other way
• VUR can lead to many problems
• Recurrent UTI
• Pyelonephritis
• Hydronephrosis
• Renal scarring

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VCUG Voiding cystourethrogram

• 1 test for VUR radiation than Tech 99m study.

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A little more about VUR

• The evaluation and management of VUR in children
  is currently undergoing reevaluation
• Yearly monitoring to evaluate renal growth and a
  cystogram (RNC or VCUG) should be performed until
  the reflux resolves or the reflux is surgically
  treated.
• Prophylactic antibiotics are prescribed to reduce
  UTI risk
• The chance of spontaneous resolution of reflux is
  high in children younger than 5 years with grades
  I-III reflux

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Main concern for spontaneous resolution of VUR

• Need to remain infection free!

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THE END

• So sayith the prophecy.