It is expected that U/S is a good tool in diagnosing CRF which will help in early management..
It is a field work practical study. I will select one hundred patients with different renal problemsand find out how many of them are suffering from CRF and show the classical sonographicappearances of CRF in the selected cases.Different US equipments with varying facilities will be used namely Aloka SSD 500, ToshibaCEE / ECC, Shimadzu SDU-350, Medison 1500 etc…
Will be done by evaluating one hundred patients, in my full-time private clinic in Sinnar city and in sinnar teaching hospital renal unit and in Gezira renal teaching hospital, who suffer from renal disease especially CRF, and who differ in sex, age, occupation, social status, andeconomic status. The sources of data collection will be the patients data sheets which will beespecially for thesis needs (questionnaire) . In addition to request forms which will include the patient’s complaints and the physician’s clinical findings. The variables of data collection are thekidneys, ureters, and urinary bladder.Scanning technique of the kidney requires : a full bladder, Liberal amount of coupling jellon the upper abdomen, A 3.5 MHz transducer for adults and a 5.0 MHz for children and thinadults, Using the liver as an acoustic window, the right kidney is best seen in supine position indeep inspiration. Scan over right upper abdomen in a longitudinal axis then rotate the patient tothe left lateral decubitus position then angle the beam as necessary and adjust the gain to obtainthe best image of the renal parenchyma in this coronal view. The left kidney is scanned in asimilar sequence using the spleen as an acoustic window.The methods for data analysis will be by computer, summarizing, classifying, and thenanalyzing the collected data sheets. Complex tables will be used and carried out in the study.The relationship between different variables, and the important statistical indicaters will bedrawn from the study.The area for the study will be in the different diagnostic U/S centers at Wadmedani –Universityof Gezira-Renal Unit, and at the renal unit in Sinnar hospital, and in my full time private clinic