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Ch 16 Abd,Biliary

Ch 16 abdomen, biliary

QuestionAnswer
What organs are contained in the abdominal cavity? stomach, the intestines, liver, gallbladder, spleen, pancreas, kidneys
What organs are contained in the pelvic cavity? rectum, sigmoid, urinary bladder, reproductive organs
Where is the liver located? Right upper quadrant
A double-walled seromembraneous sac that encloses the abdominal cavity? peritoneum
What does the portal vein and the hepatic artery do? convey blood to the liver
What is the main purpose from the radiographic standpoint is the purpose of the liver? formation of bile
The two main hepatic ducts join to form? common hepatic duct
The common bile duct joins with what other duct? Pancreatic duct
What two ducts join to form the common bile duct common hepatic duct, cystic duct
The common bile duct and the pancreatic duct join in a chamber known as? hepatopancreatic ampulla
what is another name for the chamber where the common bile and pancreatic duct join? ampulla of vater
What are the functions of the gallbladder? concentrate and store bile, evacuating bile during digestion
The distal end of the common bile duct is controlled by? choledochal sphincter
What does the pancreas produce? insulin, glucagon, pancreatic juice
What does the spleen do? produces lymphocytes, stores and removes dead or dying red blood cells
What are the names of the folds which serve to support the viscera in position? mesentary, omenta
What is the space between the peritoneum layers called? peritoneal cavity
Where is the liver located in the body? Right Upper Quadrant (RUQ)
What divides the liver into two lobes? Faslciform ligament
What should you see on a properly exposed radiograph of the absdomen? psoas muscles, lower border of the liver, transverse process of the l-spine
What type of scale of contrast is optimal for an x-ray of the abdomen? moderate contrast, moderate gray tones
What are the main important factors when doing an abdominal x-ray? prevention of movement, explain breathing to patient, wait 1 to 2 sec for exposure after breathing instructions are given
When a patient cannot stand for an upright abdominal x-ray, what projection(s) should be done? Lt lateral decubitus or dorsal decubitius
What exams are part of a 3 way? pa cxr, upright and flat abdomen
Where is the centering point for exams of the abdomen when the diaphragm is NOT of interest? At the iliac crest
Where is the centering point for abdominal exams where the diaphragm IS of interest? 2 in above the iliac crest, to include the diaphragm
What is the breathing instructions for all abdominal exams? suspend respiration at end of expiration
What are some reasons a Lt lateral decubitis of the abdomen are performed? free air(pneumoperitoneum), air-fluid levels
Where is the IR directed for an AP or PA upright abdomen? 2 in above the iliac crest
How long should a patient lay on their left side when a decubitus abdomen is being performed? 10 - 20 minutes
Where does the CR enter on a lateral projection of the abdomen? Midcoronal plane(MCP)
What does the term chole stand for? relationship with bile
What does the term choledocho stand for? common bile duct
What does the term cholecyst stand for? gallbladder
What does the term cholangio stand for? bile ducts
Where is the IR centered for a lateral DORSAL decubitis? 2 in above the iliac crest on the MCP
What are the main structures shown on a lateral decubitis of the abdomen? both sides of the abdomen, air-fluid levels, abdominal wall, flank structures, and diaphragm
What is the recommend density for the contrast being used for a t-tube choleangiogram? 25 to 30 %
What are the main reasons to do an ERCP on a patient? when the biliary ducts are not dilated, no obstruction exists at the ampulla, and diagnose biliary and pancreatic pathologies
What are the main reasons to perform a PTC? jaundice, ductal system is shown to be dilated by the use of CT or ultrasound
What are the main reasons to perfoem a T-Tube cholangiogram? patency of the ducts, presence of residual stones, status of the sphincters, and other pathological conditions
WHen is a prep not used on a patient before an abdominal radiographic procedure? acutely ill patients, visceral rupture, intestional obstruction, or perforation
Look at the pathological conditions on page 98
Created by: radgirl37
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