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Stack #4594519

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two sections of abdominopelvic cavity 1). peritoneum - double walled membraneous sac that encloses the cavity - inner layer - visceral peritoneum - outer layer - parietal peritoneum 2). retroperitoneum - space behind peritoneum - kidneys, pancreas, colon and rectum are within this space
regions of abdomen and quadrants - right and left hypochondriac, epigastric, right and left lumbar, umbilicial, right and left iliac, hypogastric - RUQ, LUQ, RLQ, LLQ
hypersthenic vs. hyposthenic re: organ positioning hypersthenic - things get pushed up + to sides hyposthenic - things get pushed down and elongated
cardia, re: sections of stomach surrounds esophogeal sphincter
fundus, re: sections of stomach superior portion, filled with gas
pylorus, re: sections of stomach narrow, communicates with small intestine (duodenum)
body, re: sections of stomach main section of section
small intestines extends from pylorus of stomach to ileocecal valve, approximately 22 feet long
three sections of small intestine duodenum - 8-10" jejunum - upper 2/6 ilium - lower 3/6
large intestine extends from ileocecal valve to anus, contains pouches called haustra formed by bands of muscle called taeniae coli
four sections of large intestine cecum, colon, rectum, anal canal
functions of urinary system remove waste products, balance electrolytes/fluids, regulate blood pressure, produce 1-2 liters of urine daily
components or urinary system two kidneys, two ureters, one bladder, one urethra
functional portion of kidney that makes urine nephron
location of kidneys level of L3 and at 30 degree angle
hepatobiliary anatomy components liver - largest gland in body, rests in RUQ gallbladder - rests inferior to liver
functions of liver produces bile, receives unique double blood supply via portal vein and hepatic artery
four lobes of liver right, left, caudate, quadrate
biliary system - gallbladder is responsible for storing and concentrating bile - connected to the liver and duodenum via a system of biliary ducts - contracts when a fatty meal is eaten to dump bile into duodenum
KUB kidneys, urinary, bladder
optimal technical factors for abdomen 75-90 kVP 20-50 mAs 14x17
tissue structures used to determine optimal technique lower liver border psoas muscles kidneys ribs transverse process of lumbar verterbrae
when is exposure for abdominal procedure generally made? at the end of expiration to avoid compression of organs
AP supine abdomen - IR centered on iliac crest - patient instructed to bend knees - CR directed at level of iliac crests - SID minimum 40" - collimate to 14x17"
AP abdomen (KUB) - Entire region of interest visualized - Collimation extend from above superior aspect of kidneys to pubic synthesis - collimation extends past medial and lateral border of anatomy - No evidence of rotation - equal space between sacroiliac joints
upright abdomen - if patient is ubable to stand, a left lateral decubitis projection can be used - IR centered to 2" above iliac crests
acute abdomen series - demonstrates abdominal contents, presence of free air, and air fluid levels - generally consists of AP supine (KUB), AP upright, PA chest upright
flat and upright abdomen series - usually requires AP supine, AP upright - for both procedures, a left lateral decubitus is performed in lieu of the upright if the patient can't stand
lateral decubitus abdomen - patient is placed in a lateral recumbent on right or left side, IR centered to 2" above iliac crests and placed against patient's back
left lateral decubitus - essential side down when fluid is detected - essential side up when air is detected - collimation extend to include diaphragm - collimation extends past medial and lateral border of anatomy
dorsal decubitus abdomen - used when patients can't stand or lie on their side - patient supine on bed or stretcher
location of appendix attached to cecum
L5 attached to sacrum
ASIS anterior superior iliac spine, a key bony landmark on front of pelvis
acetabulum socket of hip bone where head of femur fits
symphysis pubis cartilaginous joint at front of pelvis where pubic bones meet
obturator foramen large opening in pelvis
ischial tuberosity bony part of pelvis at bottom of buttocks
iliac wing large, fanned out, upper portion of ilium
sacroiliac joints where the triangular sacrum meets the hip bones
Created by: user-1998695
 

 



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