Abdominal xray knowledge

Question 1

Retroperitoneal organs cause pain where?

Answer 1

Back pain

Question 2

Intraperitoneal organs cause pain where?

Answer 2

Abdominal pain

Question 3

Pancreas causes pain?

Answer 3

Both back and abdomen

Question 4

KUB xray stands for?

Answer 4

kidney, ureter, and bladder

Question 5

How many views does an abdominal xray require?

Answer 5

Usually one one

Question 6

Structures that cross midline?

Answer 6

Stomach, Transverse Colon, Small Bowel, Aorta, IVC, Urinary Bladder, Uterus

Question 7

If psoas muscle shows up then what is unlikely?

Answer 7

fluid accumulation

Question 8

What three parts make up the small bowel?

Answer 8

duodenum, jejunum and ileum

Question 9

What is the hallmark signs of small bowel obstruction?

Answer 9

gaseous distention, multiple air-fluid levels on upright xray

Question 10

Normal diameter of small bowel?

Answer 10

2.5-3.0 cm

Question 11

How many air-fluid levels are normally found in the small bowel?

Answer 11

2-3 fluid levels normal

Question 12

Small bowel is located where on an xray?

Answer 12

Centrally

Question 13

What is the name and shape of small bowel folds?

Answer 13

Valvulae conniventes (coiled spring appearance), Circular

Question 14

What is the location of a large bowel on an xray?

Answer 14

Peripherally

Question 15

What is the name and shape of large bowel folds?

Answer 15

Haustra, Semicircular

Question 16

Normal diameter of the large bowel?

Answer 16

less than 5cm

Question 17

What is normally found in the large bowel?

Answer 17

Solid feces normal

Question 18

Large bowel is also called the…?

Answer 18

Colon

Question 19

What are four possible causes of small bowel obstruction?

Answer 19

Adhesions, hernia, tumor, gallstone (T.H.A.G.)

Question 20

What are four possible causes of large bowel obstruction?

Answer 20

Tumor, abscess, diverticular disease, volvulus (T.A.D.V.)

Question 21

Is there normally gas in the large bowel?

Answer 21

Yes

Question 22

What do you ask a patient with a possible large bowel obstruction?

Answer 22

“Are you farting?”

Question 23

“String of Pearls Sign” pathoneumonic for what?

Answer 23

Small Bowel Obstruction

Question 24

What does the Coffee Bean Sign represent?

Answer 24

Volvulus (twisting of bowel)

Question 25

The jejunum is part of the small or large bowel?

Answer 25

Small

Question 26

What does the jejunum look like?

Answer 26

Coiled Spring

Question 27

The ileum is part of the small or large bowel?

Answer 27

Small

Question 28

What does the ileum look like?

Answer 28

Almost rectangular. No indented serosa.

Question 29

What has an indented serosa?

Answer 29

Colon/Large Bowel only

Question 30

Does the ileum has an indented serosa?

Answer 30

Nope, only the colon/large bowel

Question 31

The colon has indented serosa due to?

Answer 31

Haustra

Question 32

What does free air in abdomen look like?

Answer 32

Black area where it shouldn't be

Question 33

Ascites due to

Answer 33

excess alcohol consumption

Question 34

Vascular pattern in ascities due to

Answer 34

portal hyptertension

Question 35

Ascites will cause haustral folds to appear where?

Answer 35

In center but they shouldn't be there (usually with large bowel/colon in periphery)

Question 36

Hepatomegaly is defined as

Answer 36

Enlarged liver

Question 37

Hepatomegaly causes the stomach to lose what?

Answer 37

Lose air bubble

Question 38

What are the 3 places a kidney stone gets stuck?

Answer 38

renal pelvis, ureter at edge of ileum, top of bladder

Question 39

Kidney stones aka

Answer 39

Nephrocalcinosis

Question 40

Gallstones can cause...?

Answer 40

pancreatitis

Question 41

Why take out gall bladder?

Answer 41

Gall bladder stores bile which emulcifies fat but with gall stones backup can cause many problems

Question 42

What is a Phlebolith?

Answer 42

Stone in a vein

Question 43

What can Phleboliths be mistaken for?

Answer 43

Kidney stone but Phlebolith can occur too far down to be a kidney stone

Question 44

What is a Fecolith?

Answer 44

Stone made of feces in colon

Question 45

Moth eaten appearance can mean what?

Answer 45

Cancer

Question 46

Fecolith can be differentiated from a kidney stone how?

Answer 46

Fecoliths are too large and not in line with kidneys or ureters

Question 47

Inguinal Hernia happens in what age range?

Answer 47

Kids

Question 48

Inguinal Hernia can cause bowel sounds in what unusual spot?

Answer 48

Scrotum

Question 49

Does the small bowel or large bowel do "stacking"?

Answer 49

Small bowel does stacking

Question 50

What is apple core lesion?

Answer 50

In colon, narrow channel of bowel called causing stool to back up

Question 51

Coiled Spring Sign means?

Answer 51

Severe dilation on small bowel, very dilated. Usually due to small bowel obstruction.

Question 52

What is Achalasia?

Answer 52

trouble with food passing into stomach. can effect solids and liquids. look for upsidedown bird beak sign.

Question 53

Upsidedown bird beak sign means?

Answer 53

Achalasia, trouble with food passing into stomach

Question 54

String Sign means what disease?

Answer 54

Chron's

Question 55

What is Diverticulosis?

Answer 55

Outcroppings in colon. mostly in old PT and meth addicts. diverticulosis is just the presence of outcroppings, diverticulitis is inflammation. put in hospital and manage.

Question 56

What is IntraVenous Pyleogram (IVP)?

Answer 56

injectable iodine into veins, analogue to barium. Good for kidney stones.

Question 57

Nephrolithaisis aka?

Answer 57

Kidney stone

Question 58

What is a Bezoar?

Answer 58

hair ball in stomach