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Barium Enema/ ACBE

barium enema/ACBE

QuestionAnswer
A Barium Enema is a procedure of the large intestine
Single column vs. Double Column barium only vs. barium and air
Clinical indications of Barium Enema Function, Colitis, Benign Lesions/tumors/neoplasms, Diverticulosis, Obstruction, appendicitis, Intestinal Bleeding,
Twisting of Intesine Volvulus
Most common sites for volvulus Cecum and Sigmoid, they are the most mobile
Intussusption telescoping of one part of bowel into another. common in infants
Patient prep for Barium Enema thorough cleaning of large intestine, clear liquids 1-2 days, cathartics or laxitives, enema, NPO after midnight prior
Contra-indications to bowel prep bleeding, diarrhea, obstruction, inflammation, peds
Scout preformed AP
which positions best demonstate Splenic Flexure and Descending Colon RPO and LAO
which positions best demonstrate Hepatic Flexure and Ascending Colon LPO and RAO
The AP axial Sigmoid Colon best demonstrates rectosigmoid colon elongated
Which position elongaes rectosigmoid colon even more LPO Axial
What is the two purposes of Post-Evac KUB Visualize colon's ability to evacuate barium and demonstrates mucosal lining
Description of ACBE Creates a double contrast efect
Clinical Idications of ACBE Demonstrates mucosal lining of Lg, intestine, demonstrates polyps, Neoplasms, and tumors, colitis
Patient Prep for ACBE same as Barium Enema
What projection is unique to ACBE Decubitus
What structurs are BD on R.Lat Decub ACBE AP view of Lg. intestine showing air barium levels. medial aspect of Ascending Colon and Lat. aspect of descending colon
What structures are BD on a L.Lat Decub ACBE LAt. aspect of ascending colon, and medial aspect of descending colon, hepatic flexure
Structures best demonstrated on an AP/PA upright ACBE air barium levels w/barium dropping to lowest postion and air rising
Stoma passage from resecting in a colonostomy
Created by: alymadi
 

 



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