DSA GIGU Imaging

Question 1

KUB flat plate or scout film is what

Answer 1

Kidney, Ureter, Bladder
Not very accurate since gas obstructs these organs
SCREEN FOR = acute abd disease
Quick

Question 2

KUB speckled grey areas are

Answer 2

Feces with some air in it

*complete black is not good= obstruction becuz its just air

Question 3

Acute ABD series flat and upright AP chest
When do I do this
Can see what

Answer 3

ADB pain, distention, X bowel sounds

Can see air under diaphragm, obstruction, fractures, nasogastric tube placement

Question 4

Pneumoperitoneum

Answer 4

Air under diaphragm

= bowel perforation + peritonitis present

Question 5

FAST exam

Answer 5

Fluid or blood collecting in abnormal places

If trauma

Question 6

US is about what 4 things

Answer 6

1. Size
2. Shape
3. Inflammation
4. Stones
   * solid = white, liquid = black

Question 7

HIDA scan

Answer 7

Looking at Liver and bile excretion
Nuclear tagged material so avoid in Pregnancy
*check for gallbladder function
= you see if the GB fills and if it doesn’t = obstruction
= otherwise you can see function of GB or inflammation

Question 8

When do you not order US

Answer 8

Gas or obstruction in BOWEL

Question 9

+ scan for Cholecystitis

Answer 9

White spot in gallbladder + acoustic shadow that it makes

On US

Question 10

HIDA and CCK injected

Answer 10

GB FUN filling then inject CCK = should make GB release bile
No stones present
*<35-40% removed you need to remove GB

Question 11

Barium Swallow

Answer 11

MANY X-rays
All the way to duodenum
SEE : tumors, zinkers diverticulum, and anatomy
a lot of radiation

Question 12

Zenker’s Diverticulum

Answer 12

Eat and feel like choke
Dysphagia usually in older pts
Food gets caught in throat becuz of outpouching

Question 13

CT ABD and PELVIS with contrast

2 types of contrasts

Answer 13

ORAL : see intestines inside lumen, tumor, wall thickness, obstructions, perforations, appendix, diverticulitis
IV : see vascular relationships
high radiation
*CT scan sees exactly where obstruction is

Question 14

CT ABD and Pelvis with no contrast

Answer 14

*kidney stones
Very intense pain
Use KUB or renal US for pregnancy

Question 15

EGD

Answer 15

Upper Endoscopy
Upper GI to duodenum
*inflammation, ulcers, remove foreign bodies, bleeding
* YOU NEED CONSENT

Question 16

Colonoscopy

Answer 16

Same as EGD just for the LI (colon)

Question 17

Cystoscopy

Answer 17

Same as EGD just for the bladder, urethra

Question 18

Risk for EGD

Answer 18

Perforation of viscera

Question 19

When should I do EGD

Answer 19

GERD, UGIB, Dysphagia, odynophagia, place feeding tube, bleeding, ulcers

Question 20

How do you prep for and then place EGD

Answer 20

No eating after midnight day before, no liquids for past 2hrs
Sedation of PT + intubation = protect airway

Question 21

Prep for Colonoscopy and how to do it

Look for what

Answer 21

No eating after 4- hr before bed
Take laxatives and only fluids allowed
Light sedation
= colon cancer, rectal bleeding, surveillance

Question 22

Cystoscopy when should I give this to someone

Answer 22

PAINLESS HEMATURIA
Kidney stones ,recurrent UTI, urinary obstruction

Quick and doesn’t always need sedation or prep