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UGI &LGI
exam ?
| Question | Answer |
|---|---|
| which position best demonstrates the hepatic flexure | RAO and LPO |
| opening between stomach and esophagus | esophogastric junction |
| sthenic RT Lat | L1 level anterior mid cornel plane lower rib margin |
| opening leaving the stomach | pyloric orifice pylorus |
| the duodenal bulb is at what level on a sthenic body habitus | level L2 (L1-L2) |
| LAO/RPO demonstrates which flexure | left colic flexure splenic |
| different procedures demonstrate esophageal reflux | breathing exercises water test compression paddle toe touch maneuver |
| which position best demonstrates the hepatic flexure | RAO and LPO |
| sthenic RT Lat | L1 level anterior mid cornel plane lower rib margin |
| opening leaving the stomach | pyloric orifice pylorus |
| the duodenal bulb is at what level on a sthenic body habitus | level L2 (L1-L2) |
| LAO left colic flexure splenic | RPO demonstrates which flexure |
| different procedures demonstrate esophageal reflux | breathing exercises water test compression paddle toe touch maneuver |
| Air in the fundus with the duodenal bulb and c loop in profile indicate what | RAO |
| large intestine has this that the small intestine doesn't in a radiograph | haustra |
| if you use an insufficient tech what happens to the radiograph | QM |
| what do you tell a pt after the exam to do | drink lots of water because the contrast used can cause an obstruction it is not absorbed |
| injection of a nutrient or medicine liquid into a bowel | enteroclysis |
| take how many hrs for barium to reach rectum | 24hr |
| single contrast KV | 100-125 |
| double contrast small bowl procedure | enteroclysis |
| which segment is a common site for ulcers | first superior segment of the duodenum or bulb or cap |
| at the level of T11-T12 to the right of the midline what is the part on a hyperstenic person is there | duodenal bulb |
| prep for BE | cleaning of entire bowl |
| LPO recumbent which parts are full of barium and which parts have air | fundus and body are full with barium and duodenal bulb is full of air |
| LPO air in the pyloric asthenic | 2 in below L1 30 degree oblique |
| when is the best time to see the rugae | empty stomach |
| superimposition of the pylorus and duodenal bulb what modifications need made | angle CR 20-25 degrees to open body and pylorus cephalic |
| gastric fold is called | rugae |
| location of fundus | superior and most posterior |
| at what level does the esophagus pass through the diaphragm | T10 |
| if you have acute appendicitis can you use a CT | yes |
| barium gravitates to the ? when in a supine position (AP) | fundus - lowest portion of the stomach -most posterior |
| clinical indication for the use of water soluble contrast | sensitivity to iodine |
| hyperstenic the stomach is located where | high and transverse T11-T12 |
| fixed sensory ligament | ligament of treitz |
| what can lead to esophagitis | GERD or esophageal reflux |
| which exam best demonstrates divertculosis | double contrast BE |
| Large intestine pt supine where is the air | sigmoid and transverse |
| small bowl 1 | 2 hr 2 in above crest so at 1 hr where is the CR |
| makes up most of small intestine | ileum |
| RAO center asthenic air in fundus | 2in below L1 40 degree oblique lower rib margin |
| RAO UGI bulb on a hyperstenic pt is not well visualized and not in profile | more rotation 70 degrees |
| apple core napkin ring lesions | carcinoma |
| act of chewing | mastication |
| cant get enema tip in what do you do | call radiologist |
| accessory organs of digestion | salivary pancreas liver gallbladder |
| in digital radiography are overheads usually taken | nope |
| barium gravitates to which part of the stomach when in the prone position( PA) | body and pylorus |
| RAO stenic air in fundus | level L1 45-55 degree oblique lower rib margin |
| On an UGI RAO on a asthenic pt if the bulb and c loop are not in profile then what is happening | over rotation |
| tip angled how | toward the umbilicus |
| location of flouro tube | under table |
| in an erect position where does barium fall and what is distinctive about it | pyloric portion of the stomach |
| largest in diameter | duodenum |
| subdivisions of stomach | fundas body or corpus pyloric portion |
| RT Lat asthenic | 2 in below L1 lower rib margin |
| what demonstrates the gastric ulcers the best and what will it look like if the pt has them | double contrast; lucent halo sign upper GI |
| what's the risk of using water soluble contrast on old people and children | dehydration |
| rugae is also known as the | mucosal folds |
| UGI 11x14 to include stomach and bulb where is the centering | mid L3-L4 region 1 1 |
| in a live person small intestine how many feet | 15-18ft |
| where does the fourth ascending portion of the duodenum meet | jejunum and the duodenojejenal flexure |
| smooth | ileum |
| hypostenics stomach is where in the body | level of T11-L4 or 5 |
| diverticula's | numerous blind out pouching mucous wall |
| twisting telescoping and stove pipe of intestines | volvulus |
| on a hypostenic patient the bulb is at what level | L3-L4 |
| shortest | duodenum |
| a fistula in the rectum to the urinary bladder is best seen in the ? position | cross table lateral |
| pt poss. laceration in ER UGI what contrast do you use | water soluble oral |
| on a hypostenic and astenic the stomach | L3-L4 is lower and more vertical J shaped |
| lucent halo indicates | ulcer |
| terminal ileum to the large intestine is in what quadrant | RLQ |
| barium sulfate classifications | positive radiopaque not absorbed by the body thin 1-1 thick is 3-1 suspension never dissolves cant use if there may be perforation |
| difficulty swallowing | dysphasia |
| stenic pt stomach is where in the body | level of T10-T12 |
| RAO between the heart and the vertebra what part will you see and what other position demonstrates this part | esophagus and an LPO |
| most effective to reduce dose | distance |
| PA air in fundus sthenic | level L1 in to left vert column lower rib margin |
| RAO hyperstenic air in fundus | 2 in above L1 70 degree oblique lower rib margin |
| large intestine largest diameter | cecum |
| cardiospasm | stricture or narrowing of the esophagus |
| hyperstenic RT Lat | 2 in above L1 lower rib margin |
| at what levels does the esophagus extend to | C5-6 - T11 |
| if the duodenal bulb in profile what position is it | RAO or LPO |
| duodenal bulb or cap is in what portion | the 1st segment of the duodenum beginning of the pylorus |
| esophagus is superimposed over vert column what's wrong | under rotation of body into RAO so increase rotation for correction |
| bacteria make which vitamins in what part of the intestine then absorb them for usage | large intestine B and K proteins into amino acids |
| stricture or narrowing of the esophagus peristalsis is reduced 2 | 3 of esophagus |
| where is the romance of the abdomen located | head of pancreas in c loop of the duodenum |
| irregular or ulcerative appearance of mucus -longitudinal streaking - caused by gastric juices into esophagus | esophageal reflux - GERD |
| in a prone position where is the air | ascending descending rectum |
| ulcerative colitis | cobblestone appearance along mucosa stovepipe haustra absent |
| valsalva maneuver | deep breath and bear down |
| gastric diverticulum's on the posterior aspect of the fundus what view should be used | lateral |
| LPO sthenic air in pyloric | level L1 45 degree oblique left lat margin |
| which sphincter allows chime and gastric juices out | pyloric sphincter |
| why are PA preferred over AP | allows abdominal compression to separate various loops of the bowl and create better visibility |
| 3 cardinal rules | time distance and shielding |
| tips for latex sensitive pt | latex free |
| air rises so if the air is in the hepatic flexure which side are they on | left lat decub |
| UGI prep | NPO 8 hrs before exam |
| double contrast KV | 80-90 |
| feather appearance | jejunum |
| mass of undigested material in stomach | bezoars |
| another term for an axial AP | butterfly |
| reduce exposure | bucky slot cover |
| dead person is stretch out how many feet is it | 23 |
| gastrographine, gastroview classifications | calcium carbonate crystals room air co(2) calcium or mag citrite use if perforation or pt sensitive to iodine water soluble -passes through Gi faster absorbed by the body negative radiolucent |
| fundus and body is filled with barium but bulb is filled with air and seen in profile on an UGI what position is this | LPO recumbent |
| responsibility for majority of absorption of water and vitamins | small intestine |
| which sphincter allows the food and fluid in | cardiac sphincter |
| upper gI reveals stomach mucosa is not well visualized used 80KV 30mAs and 300ml barium sulfate high screen bucky 40sid what is wrong | kV too low 100-125 single contrast and 80-100 for double contrast |
| enteroclysis indicated in pt with histories | bowel ileus regional enteritis malabsorption syndrome |
| PA air in fundus athenic | 2 in below L1 lower rib margin |
| when is a small bowl series complete | when the contrast meets the ilioceccal valve |
| narrowing of esophagus worm like appearance or cobblestone enlarged veins | esophageal varices |
| part of the intestine that is most fixed | duodenum flexure |
| what 2 are retroperitoneal structures | c loop and duodenum and pancreas |
| structure of salivary glands | parotid sublingual submandibular |
| LPO hypersthenic air in pyloric | 2 in above lower rib margin L1 60 degree oblique |
| cobble stone or string sign | regional enteritis or crohns disease |
| invagination of one part of an intestine to another | intussusceptions children |
| inflammation of the lining of the stomach | gastritis |
| large intestine is how many feet | 5ft |
| stomach duodenum retrogastric space | RT Lat |
| possible hiatal hernia stomach | AP |
| location of the greater curvature | lateral side of the stomach |
| insert tip in what position | Sims |
| ribs coming out on both sides shows which projection | AP |
| longest segment of the duodenum | 2nd portion descending |
| act of swallowing | deglutition |
| image with air and fluid is all level | decubitus |
| an infant with possible intussusceptions what kind of exam would you use | single contrast or gas |
| location lesser curvature | medial of the body of the stomach |
| another name for the illioccecal valve | terminal portion |
| stomach is at what level in a hyperstenic pt | T9-T12 high and transverse |
| upper most superior part of large intestine | left colic spenic flexure |
| if all the barium is shifted to the right | RPO or LAO |
| greatest potential for movement | transverse |
| when both negative and positive contrast are used it is called | enteroclysis |
| which segment does the head of the pancreas attach to with common bilary ducts and pancreatic ducts | 2nd segment of the duodenum |
| the hapatic flexure is on what side is it higher or lower than the lt colic flexure | right and lower |
| prep for esophagram | no prep |
Created by:
dirtypillows
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