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Procedures lll

UGI and Small Bowel Series

QuestionAnswer
what is the UGI a study of distal esophagus, stomach, and duodenum
what would be a contraindication for the UGI study mainly type of contrast used
what is the goal of patient prep for a upper GI series to arrive with an empty stomach
when should exam be scheduled during morning hours
_______after midnight NPO
how long should food and water be held for prior to this exam at least 8 hrs
what are additional instructions for the pt prior to the exam no smoking or chewing gum
true or false there is no need to warn the pt about the length of the exam false
what is the Kv range for single contrast 100-110
what is the Kv range for double contrast 90-100
what is the Kv range for iodine 80-90
are short or long exposure time needed to control peristaltic motion short
what will happen if the kV is to low on contrast filled structures will not provide visibility of the mucosa of the esophagus stomach and duodenum
upper GI AP projection - what is the CR L1- L2 1-2" above crest
upper GI AP projection- what is the structure shown AP projection of the stomach with well filled funds portion duodenum and jejunum
upper GI AP projection - where does the sagittal plane pass midway b/t midline and left lateral margin of the abdomen (10x12)
upper GI PA projection - (prone) what is the CR 1-2" above the the lower rib margin @ the level of L1-L2 1-2" above crest
upper GI PA projection - what is the structure shown contour of barium filled stomach DUODENAL BULB
upper GI PA projection -what happens to the stomach it spreads
upper GI PA projection - what is the upright used for to show the position of the stomach
what is an alternative upper GI AP projection trendelenburg (head down)
where is crest located L4
upper GI PA projection - (upright ) what is the CR 3-6" lower than L1-L2
what does a full trendelenburg show hiatal hernia
upper GI PA projection - where does the midline of the Grid coincide with sagittal plane passing halfway b/t vertebral column and left lateral boarders for the abdomen
upper GI PA projection - oblique RAO whah the CR perpendicular centered 1-2" above lower rib margin at the level of L1- L2
upper GI PA projection - oblique RAO whats the structure shown entire duodenal loop best image of the pyloric canal
upper GI PA projection - oblique RAO what the degree of body rotation 40-70º
upper GI PA projection - oblique RAO what the tube angulation 0º
upper GI AP projection what the angulation 0º
upper GI PA projection - oblique RAO what the degree of body rotation for hypersthenic 40-70º on the greater degree of rotation
upper GI PA projection - oblique RAO whats the pt position key points rest head on right cheek raise left side of body and support it by resting on the left forearm and flex knees
upper GI PA projection - oblique RAO what is the same plane as midline of the grid vertebral column and the lateral boarder of upside is the same plane
UGI AP oblique LPO positon what is the CR L1-L2 level of the body of the stomach which would be at the point midway b/t xiphoid process Lowe margins of the ribs
UGI AP oblique LPO positon - what is the SS fund portion of the stomach bc of gravity
UGI AP oblique LPO positon what is the body rotation 30-60– but 45º for average pt
UGI AP oblique LPO position what is the angle 0º
UGI AP oblique LPO positon rotate 45º flex right knee and and rotate toward toward left to support abduct left arm away from body sagittal plane passing midway b/t vertebrae and left margins of the ab skimming light must be seen on down side
which body position show better barium filled pyloric canal duodenal bulb RAO
UGI right lateral why is the right done to show right retrogastric space duodenal loop duodenojejunal juntion
UGI right lateral what the CR perpendicular entering level of L1 L2 )1-2" above crest
UGI right lateral what the SS anterior and posterior of the stomach pyloric canal duodenal bulb
what the best view for pt with hypersthenic habits UGI right lateral
what the length of the adult sm intestine 22ft
where does the sm intestine extend from pyloric sphincter of the stomach to the ileocecal valve (Lg intestine)
what occurs at the sm intestine digestion and aborstion
what are the 3 parts the sm intestine is divided into duodenum jejunum ileum
what is the length of the duodenum 8-10"
what is the widest portion of the sm intestine duodenum
where doest the duodenum begin and whats its shape at the pylorus, c shape
there are 4 regions of the duodenum name/or describe them 1st duodenal bulb 2nd 3-4 " long 3rd. 2.5" long 4th. joins jejunum at sharp curve called the duodenojejunal flexure and supported by the ligaments of treitz
what hold the duodenum in place ligaments of treitz
what portion is the jejunum of the sm intestine upper 2/5
what appearance does the jejunum have when filled with barium feathery
what appearance does the jejunum have when filled with positive and negative contrast coiled spring or stack of coins
what portion if the sm intestine is the ileum lower 3/5 or last portion
what appearance does the ileum have when filled with barium smooth
what is characterized as the final portion of the ileum ileocecal valve
what joins the bowel joints and the large intestine ileocecal valve
what is pt prep for smh bowel series NPO 8 hrs prior to exam no gum no smoking no water or food
when t is the first image taken in the small bowel series after the barium 15-30 min
what film is taken prior to the barium KUB scout
what is CR for the small bowel first image approx 2" above crest
small bowel AP/PA projection CR perpendicular to L2 for early radiographs or at crest for delayed
small bowel AP/PA projection SS small intestine until it reaches the ileocecal valve
small bowel AP/PA projection what happen after it hits the ileocecal valve fluoro may begin and compression films obtained
small bowel AP/PA projection when is this exam complete when barium is visualized in the cecum
small bowel AP/PA projection how long does this exam take to complete 2 hrs
small bowel AP/PA projection what is the CR for delayed sequence L4
Created by: knt5411
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