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Misc. Abdomen Contrast
Misc.
70
Other
Graduate
04/25/2011

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Term
Main function of the small intestine is the:
Definition
completion of absorption of the digested food.
Term
The intestinal mucosa is made of _______ and nutrients are absorbed thru the ______.
Definition
villi
Term
The intestinal glands or crypts of Lieberkuhn secrete the:
Definition
intestinal digestive enzymes
Term
Brunner's glands secrete an:
Definition
alkaline mucus
Term
Intestinal hormones include:
Definition
Secretin, CCK, and Gastrin
Term
Extends from pyloric sphincter to ileocecal valve
Definition
small intestine
Term
Small intestine average length
Definition
22 feet
Term
Three portions of small intestine:
Definition
duodenum, jejunum, and ileum
Term
Duodenum is located in what quadrant?
Definition
RUQ and LUQ
Term
Jejunum
Definition
LUQ and LLQ
Term
Ileum
Definition
RUQ, RLQ, and LLQ
Term
Ileocecal Valve
Definition
RLQ
Term
Several identical images are produced at timed intervals:
Definition
Small Bowel Series
Term
Small Bowel AP is taken to:
Definition
take advantage of superior and lateral shift of stomach, which improves visualization of duodenum and jejunum. and to prevent compression of overlapping loops of intestine
Term
Small Bowel PA is taken to:
Definition
compress abdomen and increase image quality
Term
Small Bowel First image is taken after ____minutes of barium.
Definition
15
Term
When Barium reaches ileocecal region, uses fluoroscopy to
Definition
obtain compression radiographs
Term
Small Bowel is complete when:
Definition
barium is seen in cecum(2 hrs after ingestion with normal motility)
Term
For hypomotility, give the patient:
Definition
glass of ice water
Term
Small Bowel Procedures
Definition
1. Upper GI/Small Bowel combo
2. Small bowel series alone
3. Enteroclysis (radiographic or CT)
4. Intubation method
Term
Catheter advanced to duodenojejunal flexure, thin barium injected, air or methylcellulose instilled, fluoro and radiographic images, intubation tube removed:
Definition
Enteroclysis Procedure
Term
Small Bowel Series Basic
Definition
PA
Term
Pathologic Indications-Small Bowel Series
Definition
Enteritis or gastroenteritis, Meckel's diverticulum, neoplasm, malabsorption syndrome, ileus(mechanical, adynamic or paralytic)
Term
Chronic inflammatory bowel disease of unkown origin:
Definition
Crohn's Disease
Term
A sac protruding from the wall of the ileum usually asymptomatic but may cause diverticulitis, obstruction, or blood loss:
Definition
Meckel's Diverticulum
Term
Large amounts of gas and fluid are retained in loops of dilated small and large bowel. Appears almost uniformly dilated with no demonstrable point of obstruction:
Definition
Adynamic Ileus
Term
4 main parts of Large Intestine
Definition
Cecum, Colon, Rectum, and Anal canal
Term
Length of Large Intestine
Definition
5 ft long
Term
Series of pouches along large intestine:
Definition
haustra
Term
Muscular bands that form Haustra:
Definition
Teniae coli
Term
Pouchlike portion below the junction of the ileum and colon:
Definition
Cecum
Term
attached to posteromedial side of cecum
Definition
Vermiform Appendix
Term
Colon has 4 portions:
Definition
ascending, transverse, descending, and sigmoid
Term
sharp angle at ascending and transverse colon:
Definition
Right Colic Flexure(hepatic)
Term
Sharp angle at junction of transverse and descending colon:
Definition
Left Colic Flexure (splenic)
Term
Forms S shaped loop and ends at rectum at level of third sacral segment.
Definition
Sigmoid portion
Term
Rectum extends from sigmoid to:
Definition
anal canal
Term
Anal canal terminates at:
Definition
anus
Term
Functions of large intestine:
Definition
reabsorption of fluids
elimination of waste products
Term
Temp of BE suspension should be below body temp:
Definition
85 to 90*F
Term
A substance that produces frequent, soft or liquid bowel movements:
Definition
Cathartics
Term
Contraindications to Cathartics:
Definition
Gross Bleeding
Severe Diarrhea
Obstruction
Inflammatory lesions
Term
Enema Tip Insertion: Adjust IV pole height so that the bag is no higher than:
Definition
24" above anus level
Term
Functional Study of the anus and rectum during the evacuation and rest phases of defacation:
Definition
Evacuative proctogram (defecography)
Term
Clinical indications for Defecography
Definition
rectoceles, rectal intussusseption, or prolapse of rectum
Term
Barium Enema Series:
Definition
PA or AP
RAO and LAO
LPO or RPO
Lateral Rectum
R and L Lat Decubitus(double-contrast)
PA postevac
Term
Special BE Exams:
Definition
AP Axial or AP Axial Oblique
PA Axial or PA Axial Oblique
Term
Demonstrates right colic flexure, ascending and sigmoid colon:
Definition
LPO
Term
Demonstrates left colic flexure and descending colon
Definition
RPO
Term
Best demonstrates right colic flexure, ascending colon, and sigmoid
Definition
RAO
Term
Best demonstrates left colic flexure and descending colon
Definition
LAO
Term
Entire Colon, right colic flexure with less superimposition than PA, ascending colon, cecum, and sigmoid colon
Definition
RAO Position
Term
Entire Colon, left colic flexure with less superimposition than PA, descending colon
Definition
LAO position
Term
PA Axial Large Intestine: CR angled:
Definition
30 to 40* caudad
Term
On double-contrast studies, ______ or _____ side is side of interest.
Definition
air or "up"
Term
Right lateral decubitus demonstrates medial side of____________ and lateral side of ___________.
Definition
ascending colon

descending colon
Term
In double-contrast studies, the air inflated portion is:
Definition
of primary interest and should not be over-penetrated
Term
Left Lateral Decubitus: demonstrates the up _______side of the ascending colon and the _______ side of the descending colon.
Definition
lateral of ascending, medial side of descending
Term
Rectosigmoid area in center on:
Definition
Lateral Rectum
Term
Barium Enema pathologic Conditions
Definition
Colitis(ulcerative)
Diverticulosis/diverticulitis
neoplasms
volvulus
intussusseption
appendicitis
Term
Telescoping of the bowel, more common in children and infants.
Definition
Intussussception
Term
Opens the loop of the hepatic flexure:
Definition
35-40* LPO
Term
Opens the splenic flexure, center 3-4" above the crest:
Definition
RPO
Term
Angulation for Sigmoid: only angled view: when done PA_______________, when done AP__________________
Definition
PA-35*Caudad
AP-35*Cephalic
Term
On Sigmoid, if done on 10x12, center inferior margin of:
Definition
Symphysis Pubis
Term
When Decubitus films are done, you see:
Definition
fluid levels
Term
you can determine which decubitus by looking for higher of 2 flexures:
Definition
splenic on left and sigmoid extends to the left from rectum.
Term
All of the vertical portions of the colon lie posterior, while the transverse and sigmoid colons lie anterior, therefore pooling of barium in the ascending colon and descending colon and rectum indicates a:
Definition
supine or posterior oblique position.
Term
Air Contrast Technique: Air inflated portion of the colon is:
Definition
of primary importance and should not be overpenetrated.
Term
The fundus of the stomach is posterior and pooling of barium therefore indicates a :
Definition
supine or posterior oblique position
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