Esophagram, UGI, SBS, BE, IVP
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| Rutine Esophagram | a)RAO, b) LAO, c) Left Lateral.
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| Esophagram: RAO(shoot 1” left from Sp; side up) | drinking barium, 14x17”LW, Pt: <45*RAO, CR: perp, 2-3” left from Sp at T6; top light at chin under EAR(at lips), left arm up(hold cap) and left knee bent, left spine light and EAM is alignment.
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| Esophagram: LAO | drinking barium, 14x17”LW, Pt:< 60*LAO ,2-3” right from Sp at T6; CR: perp botton light at EAR(at lips), right arm up(hold cap) and right knee bent, right spine light and EAM is alignment.
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| Esophagram: Left Lateral | drinking barium, 14x17”LW, CR: T6/1” anterior midcoronal.
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| Rutine UGI series | Scout KUB(high KUB), a)AP, b)LPO, c)Right Lateral Stomach, d)RAO Stomach, e)Esophagram
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| UGI: scout | same as KUB and then go to de Dr. and start de fluoro .
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| UGI: AP | Same as upright KUB(high KUB), for lrg pt cr slightly to left, Supine/arms at side.
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| UGI: LPO stomach(shoot left; side down) | Pt: 45*LPO, CR: perp , midway(betw scapula/TI or betw xiphoid and lower rib edge) and midway(betw Sp/ outer border ribs). CR as RAO.
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| UGI: Right Lateral Stomach*(view upside) | CR: perp midway(betw scapula/TI) and 1.5” anterior midcoronal. Rt lateral w/ shoulders & hips aligned.
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| UGI: RAO stomach(shoot left; side up) | pt:<45* RAO/ left arm bent up/ left knee bent , CR: perp, midway(betw scapula/TI) and midway(betw Sp/ outer border ribs by sponge), btm of light just below iliac crest. CR as LPO.
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| Esophagram: RAO | we see it in the routine of esophagram.
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| Routine: SBS | Scout(KUB), a)drink barium and 0 min KUB, b) 20 min KUB….c)spot with DR, possible other KUB and done.
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| Routine BE | Scout KUB then Dr to flour, a)AP (KUB), b)Sigmoid(axial), c)Both oblique, d)Left Lateral, e)Both decub, f)x-table rectum, f) Post AP or Pa (KUB).
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| BE: AP | regular KUB with barium.
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| BE: AP Sigmoid(axial) | Pt:supine/arms at side, CR: <45*CE, 2”down ASIS(betw ASIS/PS) /midline .
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| BE: RPO (shoot left; side up) | Pt: 35-45* RPO, CR: perp TI/2" medial ASIS(2” up from midline); for lrg pt closer to ASiS.
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| BE: LPO (shoot right; side up) | Pt: 35-45* LPO, CR: perp, TI/2" medial ASIS(2” up from midline); for lrg pt closer to ASiS.
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| BE: LEFT Lateral Rectum | Pt:right left lateral w/ shoulders & hips aligned, CR: perp, Slightly below ASiS/ 2" posterior midcoronal, top of the cass TI, or find the enema tip and to left is the rectum.
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| BE: X-rectum | same as left lateral rectum
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| BE: PA Post Evac (KUB) | same as regular KUB
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| Routine IVP(r/o weight, diabetes, contrast allergies | - Scout KUB, and Tomo(caliber)then to Dr,-After injection take 3 tomos, -5 min KUB, -10 min obliques, -15 min Prone(PA) ask Dr for the bladder before void, - blader after void.
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| IVP: AP Nephro Tomogram/ Cone Kidney | CR: between Xiphoid and TI/midsagital; Botton of light cass @ top of iliac, Pt:Supine/arms at side/sponge under knee, Pt instr: take a deep breath and hold it(want the kidney down).
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| AP Bladder Cone Down | CR: between ASiS & pubic Symphasis/midline; 2" below ASiS, pt:Supine, arms at side.
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| IVP: RPO (shoot left; side up) | Pt <30* RPO, CR:Top of illiac crest/ 2" medial ASIS.
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| IVP: LPO (shoot right ; side up) | Pt <30* LPO, CR:Top of illiac crest/ 2" medial ASIS.
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