UGI and Small Bowel Series
Help!
|
|
||||
|---|---|---|---|---|---|
| what is the UGI a study of | distal esophagus, stomach, and duodenum
🗑
|
||||
| what would be a contraindication for the UGI study | mainly type of contrast used
🗑
|
||||
| what is the goal of patient prep for a upper GI series | to arrive with an empty stomach
🗑
|
||||
| when should exam be scheduled | during morning hours
🗑
|
||||
| _______after midnight | NPO
🗑
|
||||
| how long should food and water be held for prior to this exam | at least 8 hrs
🗑
|
||||
| what are additional instructions for the pt prior to the exam | no smoking or chewing gum
🗑
|
||||
| true or false there is no need to warn the pt about the length of the exam | false
🗑
|
||||
| what is the Kv range for single contrast | 100-110
🗑
|
||||
| what is the Kv range for double contrast | 90-100
🗑
|
||||
| what is the Kv range for iodine | 80-90
🗑
|
||||
| are short or long exposure time needed to control peristaltic motion | short
🗑
|
||||
| what will happen if the kV is to low on contrast filled structures | will not provide visibility of the mucosa of the esophagus stomach and duodenum
🗑
|
||||
| upper GI AP projection - what is the CR | L1- L2
1-2" above crest
🗑
|
||||
| upper GI AP projection- what is the structure shown | AP projection of the stomach
with well filled funds portion duodenum and jejunum
🗑
|
||||
| upper GI AP projection - where does the sagittal plane pass | midway b/t midline and left lateral margin of the abdomen (10x12)
🗑
|
||||
| upper GI PA projection - (prone) what is the CR | 1-2" above the the lower rib margin @ the level of L1-L2
1-2" above crest
🗑
|
||||
| upper GI PA projection - what is the structure shown | contour of barium filled stomach
DUODENAL BULB
🗑
|
||||
| upper GI PA projection -what happens to the stomach | it spreads
🗑
|
||||
| upper GI PA projection - what is the upright used for | to show the position of the stomach
🗑
|
||||
| what is an alternative upper GI AP projection | trendelenburg (head down)
🗑
|
||||
| where is crest located | L4
🗑
|
||||
| upper GI PA projection - (upright ) what is the CR | 3-6" lower than L1-L2
🗑
|
||||
| what does a full trendelenburg show | hiatal hernia
🗑
|
||||
| upper GI PA projection - where does the midline of the Grid coincide with | sagittal plane passing halfway b/t vertebral column and left lateral boarders for the abdomen
🗑
|
||||
| upper GI PA projection - oblique RAO whah the CR | perpendicular centered 1-2" above lower rib margin at the level of L1- L2
🗑
|
||||
| upper GI PA projection - oblique RAO whats the structure shown | entire duodenal loop best image of the pyloric canal
🗑
|
||||
| upper GI PA projection - oblique RAO what the degree of body rotation | 40-70º
🗑
|
||||
| upper GI PA projection - oblique RAO what the tube angulation | 0º
🗑
|
||||
| upper GI AP projection what the angulation | 0º
🗑
|
||||
| upper GI PA projection - oblique RAO what the degree of body rotation for hypersthenic | 40-70º on the greater degree of rotation
🗑
|
||||
| upper GI PA projection - oblique RAO whats the pt position key points | rest head on right cheek
raise left side of body and support it by resting on the left forearm
and flex knees
🗑
|
||||
| upper GI PA projection - oblique RAO what is the same plane as midline of the grid | vertebral column and the lateral boarder of upside is the same plane
🗑
|
||||
| UGI AP oblique LPO positon what is the CR | L1-L2
level of the body of the stomach which would be at the point midway b/t xiphoid process Lowe margins of the ribs
🗑
|
||||
| UGI AP oblique LPO positon - what is the SS | fund portion of the stomach bc of gravity
🗑
|
||||
| UGI AP oblique LPO positon what is the body rotation | 30-60–
but 45º for average pt
🗑
|
||||
| UGI AP oblique LPO position what is the angle | 0º
🗑
|
||||
| UGI AP oblique LPO positon | rotate 45º
flex right knee and and rotate toward toward left to support
abduct left arm away from body
sagittal plane passing midway b/t vertebrae and left margins of the ab
skimming light must be seen on down side
🗑
|
||||
| which body position show better barium filled pyloric canal duodenal bulb | RAO
🗑
|
||||
| UGI right lateral why is the right done | to show right retrogastric space
duodenal loop
duodenojejunal juntion
🗑
|
||||
| UGI right lateral what the CR | perpendicular entering level of L1 L2 )1-2" above crest
🗑
|
||||
| UGI right lateral what the SS | anterior and posterior of the stomach
pyloric canal
duodenal bulb
🗑
|
||||
| what the best view for pt with hypersthenic habits | UGI right lateral
🗑
|
||||
| what the length of the adult sm intestine | 22ft
🗑
|
||||
| where does the sm intestine extend from | pyloric sphincter of the stomach to the ileocecal valve (Lg intestine)
🗑
|
||||
| what occurs at the sm intestine | digestion and aborstion
🗑
|
||||
| what are the 3 parts the sm intestine is divided into | duodenum
jejunum
ileum
🗑
|
||||
| what is the length of the duodenum | 8-10"
🗑
|
||||
| what is the widest portion of the sm intestine | duodenum
🗑
|
||||
| where doest the duodenum begin and whats its shape | at the pylorus,
c shape
🗑
|
||||
| there are 4 regions of the duodenum name/or describe them | 1st duodenal bulb
2nd 3-4 " long
3rd. 2.5" long
4th. joins jejunum at sharp curve called the duodenojejunal flexure and supported by the ligaments of treitz
🗑
|
||||
| what hold the duodenum in place | ligaments of treitz
🗑
|
||||
| what portion is the jejunum of the sm intestine | upper 2/5
🗑
|
||||
| what appearance does the jejunum have when filled with barium | feathery
🗑
|
||||
| what appearance does the jejunum have when filled with positive and negative contrast | coiled spring or stack of coins
🗑
|
||||
| what portion if the sm intestine is the ileum | lower 3/5 or last portion
🗑
|
||||
| what appearance does the ileum have when filled with barium | smooth
🗑
|
||||
| what is characterized as the final portion of the ileum | ileocecal valve
🗑
|
||||
| what joins the bowel joints and the large intestine | ileocecal valve
🗑
|
||||
| what is pt prep for smh bowel series | NPO 8 hrs prior to exam
no gum
no smoking
no water or food
🗑
|
||||
| when t is the first image taken in the small bowel series after the barium | 15-30 min
🗑
|
||||
| what film is taken prior to the barium | KUB scout
🗑
|
||||
| what is CR for the small bowel first image | approx 2" above crest
🗑
|
||||
| small bowel AP/PA projection CR | perpendicular to L2 for early radiographs or at crest for delayed
🗑
|
||||
| small bowel AP/PA projection SS | small intestine until it reaches the ileocecal valve
🗑
|
||||
| small bowel AP/PA projection what happen after it hits the ileocecal valve | fluoro may begin and compression films obtained
🗑
|
||||
| small bowel AP/PA projection when is this exam complete | when barium is visualized in the cecum
🗑
|
||||
| small bowel AP/PA projection how long does this exam take to complete | 2 hrs
🗑
|
||||
| small bowel AP/PA projection what is the CR for delayed sequence | L4
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
knt5411
Popular Radiology sets