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Fluoroscopy Procedures

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Barium sulfate and Water-soluble iodinated contrast  
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show In case of perforation or fistula  
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What are some advantages to water soluble iodinated contrast?   show
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What is the biggest challenge of GI radiography?   show
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Which body position best affects peristalsis?   show
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Name the fluoroscopic exam.A series of x-rays of the esophagus. The x-ray pictures are taken after the person drinks a solution that contains barium. The barium coats and outlines the esophagus on the x-ray.   show
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show AP, RAO (PA Oblique), Right Lateral  
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This is performed by forcibly exhaling against a closed nose and mouth; increases venous pressure making a hernia more evident.   show
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What does the acronym GERD stand for?   show
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show hiatal hernia  
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What are the two kinds of hiatal hernia?   show
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Zenkers diverticulum   show
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show The smooth muscle layer of the esophagus loses normal peristalsis (muscular ability to move food down the esophagus), and the lower esophageal sphincter (LES) fails to relax properly in response to swallowing.  
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show This is a ring of tissue in the lower esophagus located at or near the border of the lower esophageal sphincter.  
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Abnormal change in cells of lower esophagus. Caused by chronic acid reflux and damages to mucosa.   show
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show enters perpendicular at the level of T5 T6 (sternal angle)  
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show sternal angle  
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For the PA oblique (RAO) where does the central ray enter?   show
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What is a UGI?   show
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show upper gastrointestinal series or gastrointestinal series  
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show tumors, blockages, dysphagia, blood in stool, nausea and vomiting, constipation or diarrhea, abdominal pain, anemia, weight loss  
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show single contrast or double contrast?  
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show single - just bariumdouble - barium with air  
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What is a biphasic exam?   show
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show AP scout (high KUB), AP, LPO, PA, RAO, Right Lateral  
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In the PA, where does your central ray enter?   show
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show Transpyloric plane  
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There is double contrast visualization in the _________ and ________filled within the ______.   show
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Which position does this describe?CR perpendicular to L1 L2, midway between vertebral column and elevated lateral border. Patient is prone.   show
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show fundus - airbody and pylorus - barium  
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show Patient is placed on their right side with no rotation. Hands up by face. CR enters perpendicular at the level of L1 L2. Midway between the midcoronal plane and anterior surface of abdominal cavity  
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show Allows duodenal loop to open up better with less superimposition  
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show True  
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The patient is rotated ______ degrees in the AP Oblique ____.   show
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show Patient is supine and rotated 45 degrees. The CR enters perpendicular at the level of L1 L2 midway between the vertebral column and the dependent lateral abdominal border at the level of L1 L2  
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show Air filled body and pylorus. barium filled fundus  
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show face side up ; face side down  
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In the AP oblique which ribs are elongated? PA?   show
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Small bowel series or follow through   show
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show Taken at timed intervals (every 15 mins.)  
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show Scout KUB, AP (HMC) or PA taken at timed intervals  
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Where does the CR enter for the PA or AP projecton?   show
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show Bowel obstruction, inflammatory bowel disease (chrohn's disease)  
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show A lower gastrointestinal series is a medical procedure used to examine and diagnose problems with the human colon (large intestine). X-ray pictures are taken while barium sulfate fills the colon via the rectum  
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show Patient is placed in the Sim's position  
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show It is performed by having a patient lie on their left side, left leg extended and right leg flexed  
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The IV pole is no higher than ______ inches above level of anus.   show
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Tip is inserted, in BE, _____ inches into the rectum.   show
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show AP KUB scout, Right lateral decubitus, Left lateral decubitus, Left lateral (rectum), PA, Ap, RPO, LPO, LPO Axial (sigmoid shot), Post Evac AP  
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show 90-95 kVp; double contrast is for lining of organs do not need as much penetration  
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What kVp is used for single contrast exams? Why?   show
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For the AP scout, AP and PA of the BE where does the CR enter?   show
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show Left Lateral rectum  
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show Sigmoid  
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show CR angled 30-40 degrees cephalic to enter midline approx. 2" below the ASIS on elevated side  
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show AP oblique  
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How does the CR enter in the LPO oblique?   show
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show 35-45 degrees with left side down  
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Which flexure is open in the LPO?   show
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show RPO  
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show Perpendicular to the film at the level of iliac crest, approx. 1-2 inches lateral to midline on the elevated side (3-4 fingers in from ASIS)  
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Which flexure is open in the RPO?   show
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show If you are using gastrografin.  
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In the right and left lateral decubs where the does the central ray enter?   show
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show manual technique (watch read outs of other projections)  
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In the ___________ the "up" medial side of the ascending colon and the lateral side of the descending colon is best demonstrated.   show
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In the ___________ the "up" latral side of the ascending colon and the medial side of the descending colon is best demonstrated.   show
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How is the best way to determine if there is rotation in your lateral?   show
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