What is a Pneumoperitoneum?
“Free” intraperitoneal air
Provide the positioning criteria of a KUB/Supine Abdomen.
Patient in supine position with MSP centered to mid table
CR directed perpendicular to iliac crest and MSP
40" SID
Provide the evaluation criteria for a KUB/Supine Abdomen.
Spine in center of film with no rotation
Includes all anatomy from upper renal poles, psoas to symphysis pubis
Evidence of crosswise collimation
What is the average kVp range for an Abdomen?
Average technique 75-90 pending body habitus
If barium study, increase kVp to at least 120 kVp
What is Cholethasis?
Hard deposits that form in the gallbladder
Gallstones
Provide the positioning criteria of a PA/Prone Abdomen.
Patient prone with MSP centered to mid table
CR directed perpendicular to iliac crest and MSP
Provide the evaluation criteria for a PA/Prone Abdomen.
Spine in center of film with no rotation
Includes all anatomy from upper renal poles, psoas to symphysis pubis
Evidence of crosswise collimation
Are grids used for Abdomen Radiography? If so, why?
Grid should be used to improve quality of image
Table and Wall Bucky have grid
If doing portably, should use grid
What is Urolithiasis?
Formation of stony secretions in the bladder or urinary tract
Provide the positioning criteria of an Erect/Upright Abdomen.
Done for air/fluid levels
R/O atopic organs
CR centered 2” above iliac crest and at MSP
MUST INCLUDE DIAPHRAGMS
Patient should be positioned PA if kidneys not of primary interest
Allow 5-10 mins for air/fluid levels to develop
Provide the evaluation criteria for an Erect/Upright Abdomen.
Spine is centered with no rotation
Anatomy includes from diaphragm - inferiorly
What is the appropriate collimation for an Abdomen image?
Collimate crosswise because most adults need the full length of the IR to capture kidneys and bladder
What is Ascites?
Accumulation of fluid in the peritoneal cavity, causing abdominal swelling
Provide the positioning criteria of a Lateral Decubitus Abdomen.
Left lateral preferred in the PA position
Alternate for erect when patient is too ill to stand
Allow 5-10 mins for air/fluid separation
Arms above level of diaphragm
Knees slightly flexed for stability
CR directed to MSP and 2” superior to iliac crest
Provide the evaluation criteria for a Lateral Decubitus Abdomen.
Diaphragm seen without motion
Both sides of abdomen visible
No rotation of patient
Spinous processes in center of L-spine
Pelvis symmetry
Proper marker placement, indicating side up
What is the difference between Volvulus and Intussusception?
Volvulus =
When a loop of intestine twists around itself and results in a bowel obstruction
Intussusception =
When part of the intestines slides into an adjacent part of the intestine
Telescoping motion