{"id":1782,"date":"2019-03-05T15:52:10","date_gmt":"2019-03-05T15:52:10","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1782"},"modified":"2019-03-05T15:52:10","modified_gmt":"2019-03-05T15:52:10","slug":"ijar-2019-113","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-113","title":{"rendered":"IJAR.2019.113"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong>\u00a0\u00a0Original<\/h3>\n

Volume 7; Issue 1.3 (March 2019)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a06319-6325<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.113<\/h3>\n

ANATOMICAL CHANGES IN RENAL IMPAIRMENT AND ITS IMPLICATION: A SONOGRAPHIC STUDY<\/h3>\n

Panchali Datta 1<\/sup>, Rajarshi Roy *2<\/sup>, Sumit Datta 3<\/sup>, Shankhadeep Sarkar 4<\/sup>.<\/strong><\/p>\n

1<\/sup> Demonstrator, Department of Anatomy, Diamond Harbour Medical College, Kolkata, West Bengal, India.<\/p>\n

*2<\/sup> Demonstrator, Department of Anatomy, Medical College, Kolkata, West Bengal, India.<\/p>\n

3<\/sup> Consultant Radiologist, AMRI Hospital, Kolkata, West Bengal, India.<\/p>\n

4<\/sup> RMO, Department of Chest Medicine, Purulia Medical college, West Bengal, India.<\/p>\n

Address for the Correspondence: <\/strong>Dr. Rajarshi Roy, Demonstrator, Department of Anatomy,\u00a0Affiliated institutions: Medical College, Kolkata- 700073, West Bengal, India. Mobile number: 09433110980 E-Mail:<\/strong> rajarshi.bubai@gmail.com<\/p>\n

ABSTRACT:<\/strong><\/p>\n

Background: <\/strong>Renal failure (Azotemia) reflects inability of kidneys to maintain normal homeostatic function, simultaneously accompanied with rise in Blood Urea and Serum Creatinine levels. The manifestations may develop over days- Acute; or span over weeks to months \u2013 Chronic. Gray Scale Ultrasonography is employed, in our Study, to assess kidneys in Acute and Chronic Renal Failure.<\/p>\n

This study aims to determine the size and location of the kidneys; cortical echogenicity; severity of cortical loss; detection and aetiology of renal obstruction; and finally in the follow-up during and after the management. 200 persons were taken as Control, whereas 100 patients \u2013 50 each suffering from Acute and Chronic Renal Failure, were interrogated.<\/p>\n

Results:<\/strong> \u00a0Renal dimension, cortical echogenicity with cortico-medullary differentiation of Control (Normal) individuals were observed. The above mentioned renal parameters were assessed both in Acute and Chronic renal failure.<\/p>\n

No significant correlation was found between renal length and Serum Creatinine or Blood Urea levels in Acute Renal Failure. Whereas, a statistically significant correlation between kidney length and Serum Creatinine\/Blood Urea levels in Chronic Renal Failure is established. A statistically significant relationship was also observed between renal cortical echogenicity and Serum Creatinine level; but not with Blood Urea level.<\/p>\n

Conclusion:<\/strong> Non-involvement of ionising radiation, wide spread availability with low-cost imaging modality, makes Gray Scale Ultrasonography, the cornerstone of imaging in Renal Parenchymal Disease.<\/p>\n

Key words:<\/strong> Ultrasonography, Serum creatinine, Acute and chronic renal failure.<\/p>\n

REFERENCES<\/strong><\/p>\n

    \n
  1. Ellenbogan PH, Schieble FLO, Talner LB, Leopold GR. Sensitivity of gray scale ultrasound in detecting urinary tract obstruction. AJR 1978;130:731.<\/li>\n
  2. Hricak H, Cruz C, Romanski R. Renal parenchymal disease: Sonographic-Histologic correlation. Radiology 1982;144:141-7.<\/li>\n
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  4. Siddappa KJ, Singla S, Ameen MA, Rakshith SC, Kumar N. Correlation of ultrasonographic parameters with serum creatinine in chronic kidney disease. J Clin Imaging Sci 2013;3:28.doi: 10.4103\/2156-7514.114809.<\/li>\n
  5. Zhang WX, Zhang ZM, Cao BS, Zhou W. Sonographic measurement of renal size in patients undergoing chronic hemodialysis: Correlation with residual renal function. Experimental and Therapeutic Medicine 2014;7:1259-64.<\/li>\n
  6. Yamashita SR, Atzingen ACV, Lared W, Bezerra ASDA, Ammirati AL, Canziani MEF. Value of renal cortical thickness as a predictor of renal function impairment in chronic renal disease patients. Radiol Bras 2015;48(1):12\u20136.<\/li>\n
  7. Nass K, O\u2019Neill W.C. Bedside renal biopsy: Ultrasound guidance by the nephrologist. American Journal of Kidney Diseases 1999;34:955-9.<\/li>\n
  8. Davison AM, Cumming AD, Swainson CP. Diseases of the kidney and genitor-urinary system. In: Edwards C.R.W, Bouchier I.A.D, Haslett C. editors. Davidson\u2019s principles and practice of medicine. 17th<\/sup> Edinburgh: Churchill Livingstone; 1995. p. 611-68.<\/li>\n
  9. Rao BK, Bryan PJ. Sonography of acute and chronic renal failure. In: Resnick MI, Rifkin MD, editors. Ultrasonography of the urinary tract. 3rd<\/sup> Baltimore: Williams and Wilkins; 1991. P. 204-35.<\/li>\n
  10. Emamian SA, Nielson MB, Pederson JF, Ytte L. Kidney dimensions at sonography: correlation with age, sex and habitus in 665 adult volunteers. AJR 1993;160:83-6.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> Panchali Datta, Rajarshi Roy, Sumit Datta, Shankhadeep Sarkar. ANATOMICAL CHANGES IN RENAL IMPAIRMENT AND ITS IMPLICATION: A SONOGRAPHIC STUDY. Int J Anat Res 2019;7(1.3):6319-6325.\u00a0DOI:\u00a0<\/strong>10.16965\/ijar.2019.113\u00a0 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Volume 7; Issue 1.3 (March 2019) Page No.:\u00a06319-6325 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.113 ANATOMICAL CHANGES IN RENAL IMPAIRMENT AND ITS IMPLICATION: A SONOGRAPHIC STUDY Panchali Datta 1, Rajarshi Roy *2, Sumit Datta 3, Shankhadeep Sarkar 4. 1 Demonstrator, Department of Anatomy, Diamond Harbour Medical College, Kolkata, West Bengal, India. *2 Demonstrator, Department of Anatomy, Medical College,
    + Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1782"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1782"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1782\/revisions"}],"predecessor-version":[{"id":1791,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1782\/revisions\/1791"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}