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UGI, LGI, Esophagram
| Question | Answer |
|---|---|
| Esophagram Obliquity | RAO 35-40 degree |
| Centering Esophagram | T5-T7 Perpendicular |
| Respiration Esophagram | Suspended, patient does this naturally, does not need instruction |
| RAO Esophagus shown through | vertebra and heart |
| LAO esophagus shown through | Tspine and lungs RAO is best |
| Exposure time for esophagram | 0.1 seconds |
| Function of gallbladder | Storage of bile concentration of bile contraction when stimulated |
| Where does the Cystic duct sit | between gallbladder and common bile duct |
| Function of the liver | Production of bile |
| Which quadrant is the cecum in | Right lower quadrant |
| Where does the appendix attach | Cecum |
| Rotation for Oblique BE | 35-45 degrees |
| Centering PA BE | Iliac crest |
| Visualized PA (Prone) BE | Barium in transverse colon |
| Clinical indications BE | Colitis, diverticulitis, Neoplasms, vulvulus, intussusception |
| What does an applecore leasion represent | Colon Cancer |
| RAO BE visualize | Right colic Flexture, Ascending Colon, Sigmoid open Little to no superimposition |
| LAO BE Visualize | Left colic flexure, descending colon |
| Rotaion LAO BE | 35-45 degrees |
| Centering LAO BE | 1-2 inches above iliac crest 1 inch Right MSP (Left Colic flexure sits higher than Right Flexure) |
| Angle AP Axial Sigmoid | 30-40 degrees Cephalic |
| Post evac Demonstrate | Mucosal pattern, Risidual contrast media, small polyps and defects |
| Centering AP sigmoid | 2 inches inferior to ASIS (MSP) |
| Centering PA sigmoid | Level ASIS |
| Degree PA sigmoid | 30-40 Caudal |
| Cobble stone appearance | Chrons Disease |
| Ileus of Small Bowel | Obstruction Extended loops Expanded with air |
| How to tell if AP or PA abdomen/GI | PA: ilia more foreshortened, closed appearance AP: ilia and bladder more open |
| During double contrast BE, what projection may be used to demonstrate the posterior wall of the rectum | Ventral decubitus, lateral rectum |
| How much and what direction should the CR be directed for an AP axial projection of the sigmoid colon | 30-40 Ceph |
| What position will best demonstrate the lateral wall of ascending colon and medial wall of descending colon | left lateral decubitus |