Stomach

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Author:
alwoodring
ID:
140186
Filename:
Stomach
Updated:
2012-03-06 23:56:49
Tags:
stomach
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Description:
stomach
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  1. POB
    yes
  2. SID
    40"
  3. IR
    14x17
  4. PT
    • PA - pt recumbent, prone
    • PAA-pt prone
    • RAO - recumbent
    • LPO - pt supine
    • L -pt recumbent
    • AP - pt supine
  5. Part
    • PA - adjust pts position so grid coincides with a sagittal plane passing halfway between vert column & L lat border of abd
    • PAA- adjust pts body so MSP is ctrd to grid
    • RAO - rest head on R cheek, R arm at side, raise pts L side, support body on L forearm & flexed knee, adjust pts position so that sagittal plane passing MW btw vert & lat border of elevated side coincides w/ midline of gride, pt rotated 40-70 deg
    • LPO - pt abduct R arm & place hand near head, extended arm alongside body, flex pts R knee & rotate toward L side, deg of rotation depends on pt body H, average 45 deg, angle can vary 30-60 deg
    • L- adjust body to true lat position, adjust body that plane passing midway between MCP & ant surface of abd coincides w/ ML of grid
    • AP- adjust pt so ML grid coincided w/ ML body
  6. IR
    • PA-1-2" above lower rib margin at level of L1-2 when pt is prone
    • PAA- for stenic pt ctr ir at level of L2, ctr higher for hyperstenic pt, lower for astenic pt, L2 lies 1-2" above lower rib margin
    • RAO- ctr ir 1-2" above lower rib margin @ level of L1-2
    • LPO- Adjust pts position so sagittal plane passing approx MW btw vert & L lat margin of abd ctrd to ir, ir @ level of body stomach, MW btw xiphoid process & lower margin of ribs
    • L- level of L1-2 for recumbent position, L3 for upright pos
    • AP- ctr ir w/ sagittal plane passing MW bte ML & L lateral margin of abd, ctr ir level MW btw xiphoid process & lower rib margin
  7. CR
    • PA, LPO, AP - perp to center IR
    • PAA - MP of ir @ angle of 35-45 deg ceph
    • RAO, L - prep ctr of IR
  8. ID
    • PA, PAA, RAO - PA: L marker on L lower border of IR
    • LPO, AP - AP: L marker on L lower border of IR
    • L - L/R depending on which lat, marker on lower border of IR
  9. CM
    • PA, PAA, RAO - 12x16
    • LPO, L, AP - 13x16
  10. Resp
    expiration
  11. SN
    All - none

    RAO - hyperstenic pts require greater rotation
  12. GS
    yes
  13. SS
    • PA - pa proj of contour of barium filled stomach & duodenal bulb
    • PAA - "open up" the high, horz (hyperstenic- type) stomach to show greater & lesser curvatures, the antral portion of stomach, pyloric canal & doudenal bulb
    • RAO - PA obl proj of stomach and entire duodenal loop, give best image of pyloric canal and duodenal bulb in pts whose habitus is sthenic
    • LPO - rundic portion of stomach, bc of gravity, the pyloric canal & DD bulb are not as filled w/ barium as RAO
    • L - ant & post aspects of stomach, the pylo canal and DD bulb, R lat gives best image of pylo canal & DD bulb in hyperstenic pts
    • AP - stomach: well filled rundic & portion & D-C body, pyloric portion & DD best demo of retrogastric portion of DD & jejunum
  14. EC
    Stomach must be empty, desirable to have colon free of gas and fecal material, pts shouldnt smoke or chew gum after midnight the night before the examination bc this can stimulate gastric scretions, whenever possible begin the fluro study w/ pt upright, the biphasic GI exam incorporates the advantages of both single & double contrast exams, a double study is performed first then the pt is given apro 15% weight / volume then single

    • PA - evidence of proper collimation, entire stomach and duodenal loop, stomach ctrd at level pylorus, no rotaion pt, exposure tech that demo the anatomy
    • PAA - evidence of proper collimation, entire stomach and prox duodenum, stomach ctrd at level pylorus, exposure tech that demos the anatomy
    • RAO - evidence of proper collimation, entire stomach and duodenal loop, no sup of the pylorus and duodenal bulb, DD bulb and loop in prof, stomach ctrd at level pylorus, exposure tech that demo the anatomy
    • LPO - evidence of proper collimation, entire stomach and duodenal loop, fundic portion of stomach, no sup of the pylorus and duodenal bulb, body of stomach centered to radiograph, exposure tech that demo the anatomy, body and pylo w/ double-C visualization
    • L - evidence of proper collimation, entire stomach and duodenal loop, no rotaion pt as demo by the vert, stomach ctrd at level pylorus, exposure tech that demo the anatomy
    • AP -evidence of proper collimation, entire stomach and DD loop, D-C visualization of the gastric body, pylo, and DD bulb, retrogastric portion of the DD and jejunum, lower lung fields for demo of diaphragmatic hernias, stomach crtd at level of pylo, no rot of pt, exposure tech that demos the anat

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