Abdomen part 1 Flashcards

1
Q

what technique do we use when taking abdominal radiographs?

A

low kVp technique
at expiration
grid if patient >10cm thick

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2
Q

what does visualization of the margins of the abdominal structures require?

A

contrasting opacity (usually fat) interposed between the soft tissue opacity organs

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3
Q

what is decreased abdominal serosal detail caused by?

A

soft tissue opacity between organs: fluid
decreased fat between organs
optical illusion because of giant mass

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4
Q

in whom might you see decreased serosal detail?

A

abdominal effusion
young patient
thin patient
giant mass

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5
Q

what is increased serosal margin detail due to?

A

free abdominal gas interposed between soft tissue organs
usually GI perforation

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6
Q

how do we find small volumes of free gas in a small animal?

A

horizontal beam DV or VD with the animal in left lateral recumbency
want gastric fundus out of the way
look just caudal to diaphragm at highest point in abdomen

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7
Q

what does an abdomen with free gas and fluid look like?

A

some serosal details seen very well and others not at all

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8
Q

what bacteria are known to produce gas?

A

Clostridium
E. coli
Klebsiella

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9
Q

what are some retroperitoneal abnormalities?

A

mass effect causes ventral displacement of colon:
lymphadenopathy
retroperitoneal fluid

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10
Q

what is the gastric axis?

A

when we draw a line between the fundus and pyloris of the stomach
perpendicular to spine and parallel to ribs

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11
Q

what are some liver abnormalities we can see on a radiograph?

A

hepatomegaly
pedunculated liver mass
microhepatia
emphysematous cholecystitis
liver abscess

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12
Q

the head of the spleen is in the _________________ abdomen attached to the ____________

A

left dorsal
stomach

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13
Q

when can you see a normal cat spleen in radiographs?

A

VD view, not lateral

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14
Q

what happens in a splenic torsion?

A

spleen is rotated around its pedicle

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15
Q

is a DV view for abdomen helpful? why?

A

no
caudal abdominal structures not visible

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16
Q

what should you look at/for when looking at an abdominal radiograph?

A

extra-abdominal structures
abdominal contrast
retroperitoneum
liver
spleen
urinary tract
gastrointestinal tract
girl or boy parts

17
Q

what are some extra-abdominal structures?

A

mammary carcinoma
body wall hernia
prepubic tendon rupture

18
Q

why do young patients have decreased serosal detail?

A

tiny amount effusion
more brown fat (closer to soft tissue opacity)

19
Q

what does focal effusion look like?

A

decreased serosal detail in one region
ruptured urinary bladder

20
Q

what does mild effusion look like?

A

wispy appearance

21
Q

how can you find small volumes of free gas?

A

horizontal beam DV or VD with animal in left lateral recumbency
want gastric fundus with normal gas out of the way

22
Q

what does a radiograph with free gas and fluid look like?

A

decreased serosal detail in some spots and increased in others
gas filled GI shows up beautifully
fluid filled intestine not seen

23
Q

what can cause gas where it is not normally?

A

penetrating wound
abnormal communication with structure that normally contains gas
gas forming organisms

24
Q

what are choleliths?

A

stones in common bile duct

25
Q

what does vitamin D toxicity cause with the stomach?

A

causes dog to mineralize the stomach

26
Q

where does the liver normally live?

A

between the diaphragm and the stomach

27
Q

what is the angle of the gastric axiss?

A

between perpendicular to spine and parallel to ribs

28
Q

what can the gall bladder do that is normal?

A

protrude ventrally

29
Q

what is the tail of the spleen like?

A

mobile
usually seen in ventral abdomen caudal to the pylorus on the lateral view in a dog
not normally seen on lateral view in a cat

30
Q

what might you see on radiographs of a splenic torsion?

A

may be drawn into C shape
if occurred more than 1-2 days ago, may just see generalized splenic enlargement and effusion