Lower GI

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Author:
johndc3476
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156466
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Lower GI
Updated:
2012-05-30 11:37:37
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  1. What quadrant is the duodenum in?
    RUQ and LUQ
  2. What quadrant is the jejunum in?
    LUQ and LLQ
  3. What quadrant is the Illeum in?
    RUQ, RLQ, LLQ
  4. What quadrant is the illeocal valve in?
    RLQ
  5. Why do you do a small bowel series?
    To do an exma of the small intestine
  6. Why is a barium enema done?
    Exam of the large intestine.

  7. Label the parts ( Descending direction, A. B. C. )
    • A. Duodenum
    • B. Jejunum
    • C. Illeum

  8. Label from Left to right Descending. ( A B C D E )
    • A. Duodenum
    • B. Head of Pancreas
    • C. Stoamch
    • D. Jejunum
    • E. Colon
  9. KNOW THIS

  10. What part is this?
    Label descending ( Left and then right )
    A. B. C. Appendix. D.
    • A. Illeocecal valve
    • B. Cecum
    • C. Apendix
    • D. Terminal Illeum

  11. What part of the body is this?
    Label descenidng from left to right
    • This is the rectum.
    • A. Rectum
    • B. Rectal Ampulla
    • C. Anus
    • D. S3 Level
    • E. Sacrum
    • F. Coccyx
    • G. Anal Canal

  12. What is this?
    Label the lines.
    • A. Right colic flexure
    • B. Ascending Colon
    • C. Cecum
    • D. Appendix
    • E. Rectume
    • F. Anal Canal
    • G. Tranverse Colon
    • H. Left colic flexure
    • I. Descending Colon
    • J. Sigmoid Colon
  13. What are the differences between large and small intestine?
    • Large intestine has:
    • 1. Internal diameter
    • 2. Haustra ( Taenia coli )
    • 3. Relative location
  14. What position is this?
    Lateral view of the rectum
  15. What position is this?
    LAO
  16. What are some pathologic indications of the small bowel series?
    • 1. Enteritis
    • 2. Neoplasms
    • 3. Malabosprtion syndrome
    • 4. Illeus
  17. What disease is this?
    Cronh's disease ( cobbletsone apperance )
  18. What pathology is this?
    • Giardiasis
    • ( Dilated intestines with thick folds )
  19. What is this?
    • Illeus
    • ( Obstruction )
  20. When do you use water soluble contrast?
    When theres possiblility of perforation
  21. For an upper GI/Small bowel combination, what is the routines?
    • 1. Do routuine upper GI, NOTE TIME OF FIRST CUP INGESTION.
    • 2. Ingest second cup
    • 3. 30 minute interval radiographs.
    • 4. On hour interval radiographs ( IF NEEDED )
    • 5. Spot illeocecal valve.
  22. What patient prep is needed?
    • 1. NPO for 8 Hours
    • 2. No gun chewing
    • 3. No smoking
    • 4. Ask for pregnancy
  23. What position is done for this procedure?
    PA.
  24. Where do you center for the first PA radiograph? Second?
    2 inches above crest because theres nothing down in the lower yet.

    Second will be at the crest.
  25. What patient preperation is needed for barium enema?
    • 1. Light evening meal
    • 2. Bowel cleansing cathartics
    • 3. NpO after midnight ( 8 ho8rs )
    • 4. NO gum chewing
    • 5. No smoking.
  26. Whats the difference between diverticula and polyp?
    • Divertucula - Outward
    • Polyp - Inward
  27. What is a cathartic?
    Something that promotes defecation.
  28. What are some contraidications to cathartics?
    • 1. Gross bleeding
    • 2. Severe Diarhhea
    • 3. Obstruction
    • 4. Inflammatory lesions
  29. Which enema tips are we gonna see in the hopsitals?
    Contrast retention tip

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