Upgrade to remove ads
CDP: Abdominal Radiography
Terms in this set (42)
What is seen on KUB?
kidney, ureter, bladder (flat plate of the abdomen)
______ is an x-ray to evaluate pt with abdominal pain or trauma, and can also demonstrate pathological conditions of the urinary or GI systems
What can be found with KUB?
-soft tissue masses
-ruptured viscus (free air)
KUB (does/does not) use contrast
Which kidney is usually a little lower than the other?
Abdomen/KUB (AP) Supine Laying Down shows _______, ________, ________
Upright Abdomen (PA) Standing is used to show ___________ & helps with diagnosing _________
-air/fluid levels within the bowel
-mechanical small bowel obstructions
Chest (PA) Standing helps to look for _____________; also can show intrathoracic disorders that may be causing abdominal pain (ex: lower lobe pneumonia or pleural effusions)
free air under the diaphragm (pneumoperitoneum)
Which diaphragm is normally higher, the right or left?
Free air below the diaphragm usually indicates ________
Abdominal _________ uses sound waves to produce pictures of the structures within the upper abdomen
What is abdominal US used for?
-to help dx pain or distention (enlargement)
-evaluate the kidneys, liver, gallbladder, bile ducts, pancreas, spleen, & abdominal aorta
IVP (does/does not) use contrast
IVP has largely been replaced by _______, as it gives you a lot more info
What is IVP used to look at?
kidneys, ureter, bladder
Barium enema (does/does not) use contrast
When is barium enema CI?
acute abdominal pain
When is barium enema indicated?
-chronic abdominal pain
What does prep for barium enema entail?
long prep - (day before) clear liquids only, mag citrate, dulcolax, (day of) bisacodyl suppository or enema
What should you be suspicious of if you see an apple core lesion on barium enema?
Which sign on barium enema would make you suspect ulcerative colitis?
lack of haustral folds in LI
What can you see with lower GI Barium Contrast Studies?
-distal small bowel
Upper GI series is a contrast-enhanced X-ray series which provides visualization of the mucosa of ________, ________, & ________ lumens
When is an upper GI series indicated?
-upper abdominal pain
-suspected gastroduodenal obstruction
When is an upper GI series CI?
-complete bowel obstruction
What is an abdominal CT used for?
-evaluate abdominal organs & pelvis
-to guide needles during bx & aspiration of fluids
-staging known neoplasms
-monitor abdominal disease with serial imaging
Abdominal CT (can/cannot) be enhanced with IV contrast
When is abdominal CT CI?
-no contrast to ppl with shellfish or iodine allergies
-caution with dye in renal failure
-obese ppl may be too heavy for bed
In a child with pyloric stenosis, which sign would you expect to see on abdominal US?
Intestinal malrotation is a congenital abnormal position of the bowel within the peritoneal cavity secondary to an arrest of normal rotation of any part of the intestinal tract during the ________ trimester of embryonic development.
Malrotation is accompanied by abnormal bowel fixation, resulting in a narrow-based attachment of the _________ & the presence of abnormal __________
-peritoneal bands (Ladd's bands)
Abnormalities seen with malrotation lead to increased risks of ________ & ________
Malrotation with ________ is a true life-threatening emergency; delayed dx can lead to necrosis of the midgut
twisting of the intestine on itself
_________ is the most common cause of intestinal obstruction in children between the ages of 6 months & 2 years
intussusception is the MC cause of intestinal obstruction in children between the ages of ______ & ______
What is the classic triad of intussusception?
-intermittent crampy abdominal pain
-bloody stools ("currant jelly")
What sign would you expect to see on abdominal US in a pt with intussusception?
What is the gold standard for diagnosing intussusception?
What appearance does intussusception have on contrast enema?
What is the main absolute CI for a contrast enema?
Which imaging modality would be used for hydronephrosis?
YOU MIGHT ALSO LIKE...
ch 23 abdomen
Bates Abdomen Ch11
OTHER SETS BY THIS CREATOR
CM2: Systemic Vasculitis Syndromes
CM2: Systemic Lupus Erythematosus
CM2: Rheumatoid Arthritis
CM2: Urticaria, Angioedema, Anaphylaxis