Use abdominal probe + place probe vertically at the posterior axillary line. Find the kidney (often need to slide more posterior). Rotate probe os it can fit between ribs. Then center the kidney on screen (ie slide towards feet) + increase depth to make kidney largest possible on screen.
Fan/sweep through the kidney until its lost anteriorly + posteriorly.
Examine for moderate/severe hydronephrosis. See black anechoic fluid in the collecting system as it distends + minor calyces blunted. In severe the cortex can appear thinner and more distorted.
Note: The video shown has no features of hydronephrosis.
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