renal biopsy…

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what the risks are kidney anatomy, kidney, blood, urine flow, renal biopsy, kidney biopsy, biopsy, kidney, a renal biopsy, way, obtain a sample of kidney tissue, sample is then examined, in the laboratory, many ways of performing the biopsy, most common is under ultrasound guidance, biopsies, ct scan guidance, under some circumstances, biopsy performed by running the biopsy catheter, the neck veins, a trans-jugular biopsy, performing the biopsy under ultrasound guidance, in the hospital, in the radiology suite, physician, go over the procedure, benefits, risks in great detail, patient is expected to to lay face down, at least 20-30 minutes, a towel placed under the upper abdomen to achieve an appropriate position, kidney is located using the ultrasound, mark the biopsy site, a local anesthetic, given to numb the skin, biopsy site, a tiny incision is then made, in the skin, a biopsy needle, inserted, skin, a previously determined kidney position, under direct ultrasound visualization, needle is advanced, surface, the kidney, patient is then asked, take, hold a deep breath, needle introduced, kidney, fired, physician is not using direct ultrasound guidance, ask the patient to take deep breaths to verify needle "embedment", firing, biopsy needle is then withdrawn, pressure is applied, biopsy site to stop the bleeding, several passes required, an adequate amount, tissue is collected, a bandage is applied, biopsy site, patient is requested to remain in bed, 6-8 hours, pain medicines, oral, iv fluids, administered, urine monitored, excessive hemorrhage, a little bleeding, occurs, blood counts, vital signs, monitored, patient is observed, in the hospital, inform the doctor of any drug allergies you, medications, have bleeding problems, pregnant, must sign a consent form, restricted from food, fluid, infants, children, test depends on child's age, level of trust, general information on how to prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, the local anesthetic is injected, a prick, a mild stinging, the biopsy, an aching feeling, test there muscle soreness, bright, red blood, in the urine the first 24 hours, bleeding lasts longer, inform the health care provider, test is sometimes, evaluate a transplanted kidney, evaluate an unexplained drop in kidney function, persistent blood, in the urine, protein, in the urine a normal value, the kidney tissue shows normal structure, an abnormal value, the test shows changes, in the kidney tissue, infection, poor blood flow, the kidney, signs of connective tissue diseases systemic lupus erythematosus, diseases that affecting the kidney, transplant patients, signs of transplant rejection, additional conditions under which the test performed, acute nephritic syndrome, acute tubular necrosis, alport syndrome, atheroembolic renal disease, chronic glomerulonephritis, complicated urinary tract infection, diabetic nephropathy, focal segmental glomerulosclerosis, goodpasture's syndrome, iga nephropathy, berger's disease, interstitial nephritis, lupus nephritis, medullary cystic disease, membranoproliferative gn i, membranoproliferative gn ii, membranous nephropathy, minimal change disease, nephrotic syndrome, post-streptococcal gn, rapidly progressive glomerulonephritis main risk is bleeding, kidney, in 1% of patients, require a blood transfusion, very minimal chance of infection, bleeding, muscle, might cause soreness, 2 weeks, avoid strenuous activities, lifting heavy objects, a repeat biopsy is needed.