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CH 15 LGI Positionin
Lower GI Positioning
Question | Answer |
---|---|
What position is recommend as an alternative to a lateral rectum projection during a double contrast BE? | Ventral Decubitis |
Where is the CR centered for the 15 minute radiograph during a small bowel series? | 2 inches above the iliac crest, |
Which ionization chambers should be activated for both the PA Small Bowel and AP & Oblique Barium Enema projections? | All 3 chambers. |
Which positions takne during a Barium Enema will best demonstrate the Right Colic (Hepatic) Flexure? | RAO and LPO |
How much body rotation is required for oblique Barium Enema projections? | 35-45 degrees |
Which position taken during a double contrast Barium Enema will produce an air filled image of the Right Colic (Hepatic) Flexure, the Ascending Colon and Cecum? | Left Lateral Decubitis |
Which aspect of the large intestine is best demonstrated with an AP axial projection? | The rectosigmoid region |
What is the advantage of performing an AP Axial Oblique projection rather than AP Axial? | Creates less superimposition of the Rectosigmoid segments |
What is another term for the AP/PA Axial projections? | Butterfly projections |
What CR angel is required for the AP axial? What CR angel is required for the PA axial? | A 30-40 degree cephalad CR angle for the AP axial. a 30-40 degree caudad CR angle for a PA axial. |
Which projection during a double contrast BE series best demonstrates the descending colon for possible polyps? | Right Lateral Decubitis (Left side up) |
What are the basic projections for a Barium Enema? | PA/AP, RAO/LAO or RPO/LPO, Right & Left Lateral Cecubitis, Lateral Rectum & PA post evacuation. |
For the Decubitis projections, which side of the patient is best demonstrated? | The side up. |
For the Oblique projections, which side of the patient will demonstrate an "opened up" Colic Flecure? | The patient side up will demonstrate the colic flexure on that side. Example: An RPO would demonstrate an opened up Left Colic (Splenic) Flexure. |