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House of the kidney? - TK

Posted: Dec 05, 2011

This is a kidney transplant report, and the doc says: "A 6 x 12 double-J stent was placed within the ureter up into the (s/)l house of the kidney."

I looked up this term, but I can't find it with Google. Any suggestions?

Thanks! :)

can you hear curl in there anywhere? - nm

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.

No curl - TK

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Nope. He doesn't say curl anywhere. He's speaking really clearly, but it almost sounds like he says house (or hiaus). Was thinking it was a term similar to hilum.

I'm not sure but here is some good info on the kidney, - sm

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The outer skin of the kidney is called the renal capsule (renal refers to the kidney). If you were to slice through a kidney from side to side and open it like the pages of a book, you would see two main parts, a central part and an outer, peripheral part (Figure 2b). The peripheral part consists of the cortex and the medulla, with the medulla consisting of medullary pyramids; the inner, central part consists of a group of tubes (the calyx and the pelvis) that lead out of each pyramid and into the ureter (the tube that drains urine into the bladder).

Within the cortex and the medullary pyramids are found millions of tiny structures called nephrons (Figure 2c). The nephrons are responsible for filtering out of the bloodstream an estimated 43 gallons of water a day- about twice the body's entire weight in fluid - through an intricate network of tubules (little tubes

The shape of a nephron is unique, unmistakable, and admirably suited to its function of producing urine (Figure 2c).It looks a little like a big "mouth" hooked to a really long and winding neck. The "mouth" is filled with what looks like a round lawbreaker that is so big that the "mouth" cannot close! In reality, the nephron is composed of two main parts: the renal corpuscle (the mouth and the jawbreaker) and the renal tubule (the long and winding neck). The "mouth" of the renal corpuscle is actually called Bowman's capsule and the " jawbreaker" is actually called the glomerulus from the Latin word for "small ball" (the plural form is glomeruli). The glomerulus is a network of blood capillaries that is surrounded, first, by a double membrane (the glomerular capsular membrane) and then is surrounded by Bowman's capsule. The renal tubule (the long and winding neck) consists of the proximal tubule (the thick, winding part of the neck that extends just up to where it begins to make a U-turn); the loop of Henle (the thinner part of the neck that actually makes the U-turn); and the distal tubule (the last, thicker part of the neck that travels away from the U-turn, winds all around, and eventually leads into collecting tubules). Now that you are familiar with the structure of the kidney and, in particular, the nephron, let's see how the whole system works to produce urine so that waste products can be removed from the body.

calyx - NM

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calyx - nm

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nm

Thanks! - TK

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Thank you for the info and help.

Calyx sounds like house? - Huh?

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Am I missing something here? Calyx doesn't sound anything like house and vice versa.

you are right about that - BUT

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having transcribed a lot of urology including transplants, I can vouch there is no such thing as a house in reference to the kidney. The OP's sentence in the original post was enough to decipher the answer as calyx. Sometimes dictation is like that. What you think you hear and what you can document by looking at an anatomy plate may sound different, but there you are. That plus the last part of house does sound like the second syllable in calyx depending on one's accent.

Must be a Yankee thing. - Huh?

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I don't think "lyx" and "house" sound similar at all.

I'm a Southerner, so maybe I just don't have the right "accent."

yankee - ...

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Of course licks does not sound like house. As an MT, even from the south, certainly you are familiar with speech patterns and how the phonics kind of go soft when words run together.

say it out loud - ...

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If you say it out loud, you will notice that the throat has to do very similar things to produce the sounds needed to pronounce "the calyx" and "the house".

"house" of the kidney - mnmt

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Could it perhaps be hilus of the kidney?

Not my throat. - Huh?

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I'm not trying to be argumentative here, but I honestly don't know what you're talking about. Saying "house" and "calyx" aloud produce two very different lingual, labial, and throat responses.

yes, your throat - sm

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In my post I recommended saying "THE house" and "THE calyx", as this maneuver tends to accentuate the glottal nature of the sound production.

You don't need your lips to pronounce either of these words, so I am astonished by your description of a labial response.

link for - calyx

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When a patient has a transplant, a stent is placed into the calyx (upper pole versus midpole) through the ureter to empty urine from the kidney to outside the body while the kidney has time to heal.

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