esophagus and ugi 2

8/3/2019 Esophagus and UGI 2

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Esophagus and UGIEsophagus and UGI


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Patient PreparationPatient Preparation

Ask if patient has any metal objects inAsk if patient has any metal objects in

clothing ( zippers, buttons, snaps, etc.)clothing ( zippers, buttons, snaps, etc.)

Any jewelry that might obscure the certainAny jewelry that might obscure the certainareas of interest. ( navel rings)areas of interest. ( navel rings)

Present patient with a gown to changePresent patient with a gown to change

into.into.


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EsophagusEsophagus

One view RAOOne view RAO

14 x 17 Lengthwise14 x 17 Lengthwise

Average technique 110 @3Average technique 110 @3


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PositioningPositioning

Patient prone on the tablePatient prone on the tableRotate 35Rotate 35--40 with the right anterior40 with the right anterior

portion against table.portion against table.

Place

right a

rm down beside patient

Place

right a

rm down beside patient

Left arm flexed at elbow by patientsLeft arm flexed at elbow by patients

head to hold cuphead to hold cup

Flex left knee for

supportFlex left knee fo

rsuppo

rt

Shield patient at waist.Shield patient at waist.


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CR is perpendicular to T5-T6

About 3 inches below jugular

notchSID 40

Collimate about 6 inches wide.

Place marker in light field

Suspend breathing


6/18

Film critiqueFilm critique

Esophagus should fall between spine andEsophagus should fall between spine and

heart.heart.

Esophagus should be filled with bariumEsophagus should be filled with bariumAdequate rotationAdequate rotation


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UGIUGI

3 views3 views

AP, 14 x 17AP, 14 x 17

LPO, 11 x 14LPO, 11 x 14Right Lateral 11 x 14Right Lateral 11 x 14

Page 480Page 480

125 @ 4125 @ 4--77


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APPositioningAPPositioning

Patient is supine on the table.Patient is supine on the table.

Align stomach to midline of table.Align stomach to midline of table.

Ensure body is not rotated.Ensure body is not rotated.Arms at sideArms at side

Place shield overwaistPlace shield overwaist


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CR perpendicular to L1Mid-way between lowerrib margin and Xiphoid tip

SID 40

Collimate to cassette and place marker in light field

Expiration


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Different centering positionsDifferent centering positions

for

all positionsfor

all positionsSthenic patient is at L1Sthenic patient is at L1

Hypersthenic is 1 inch above L1Hypersthenic is 1 inch above L1

Asthenic is 2 inches below L1 and nearerAsthenic is 2 inches below L1 and nearerto midto mid--lineline


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Film CritiqueFilm Critique

Entire stomach and duodenumEntire stomach and duodenum

Diaphragm and lower lung fieldsDiaphragm and lower lung fields

Fundus is filled with bariumFundus is filled with barium


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Positioning of patient forLPOPositioning of patient forLPO

Patient supine on tablePatient supine on table

Rotate 30Rotate 30--60 degrees from supine60 degrees from supinedepends on size of patient.depends on size of patient.

Flee knee forsupportFlee knee forsupport

Extend left arm from body and raise rightExtend left arm from body and raise rightarm across chest to hold to side of tablearm across chest to hold to side of table

Place bottom of cassette orLight at thePlace bottom of cassette orLight at thetop of the cresttop of the crest

Shield patient at waist.Shield patient at waist.


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Rotation forLPO UGIRotation forLPO UGI

Sthenic 45 degreesSthenic 45 degrees

Hypersthenic 60 degreesHypersthenic 60 degrees

Asthenic 30 degreesAsthenic 30 degrees


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CR midway between xiphoid tip and lowerrib marginmid-way between the midline and left lateral side.

SID 40

Collimate to cassette and place marker in light field

Expiration


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Seen on FilmSeen on Film

Stomach and duodenumStomach and duodenum

The duodenal bulbThe duodenal bulb

Barium filled fundusBarium filled fundus


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Positioning forRight lateralPositioning forRight lateral

Roll patient up on right sideRoll patient up on right side

Shoulders and hips in true lateralShoulders and hips in true lateral

positioningpositioningFlex knees and position arms up out ofFlex knees and position arms up out of

wayway

Midline is 1 to 1 posterio

rto midline ofMidline is 1 to 1 poste

rio

rto midline oftabletable

Place shield overwaistPlace shield overwaist


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CR L1 and 1-1 inches anteriorly

bottom of light at top of crest

SID 40

Collimate to cassette

Expiration


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Film CritiqueFilm Critique

Entire stomachEntire stomach

Retrogastric spaceRetrogastric space

No rotationNo rotation

esophagus and ugi 2

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