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RTE 1513 > Esophagogram > Flashcards

Esophagogram Flashcards

1
Q

sup. portion of stomach?

A

fundus

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2
Q

fundus sits where?

A

post.

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3
Q

body os stomach sits where?

A

ant.

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4
Q

inf. portion of stomach?

A

pylorus

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5
Q

purpose of esophagogram?

A

to examine and show form & f(x) of pharynx & esophagus

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6
Q

valsalva maneuver

A

breathing exercise where pt takes deep breath and bears down as if to poo, or pinch nose and blow

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7
Q

mueller maneuver

A

breathing exercise where pt exhales and then tries to inhale against a closed glottis

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8
Q

water test

A

pt in recumbent LPO drinking water w fluoro; pos for reflux when significant barium regurgitates into esophagus from stomach

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9
Q

compression technique

A

paddle placed under prone pt to show esophagogastric junction to detect possible reflux

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10
Q

toe-touch maneuver

A

cardiac orifice observed while pt touching toes under fluoro to show possible reflux

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11
Q

benefit of thick barium

A

better visualization of mucosal patterns and any lesions in esophagus

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12
Q

pt prep for esophagram?

A

not much (hosp gown, remove artifact); unless UGI to follow

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13
Q

IR used for esophagogram?

A

14x17” LW w grid

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14
Q

SID for esophagopgram?

A

SID 40”

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15
Q

Pos’s for postfluoroscopic overhead projections?

A

RAO, Lat, AP(PA)

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16
Q

how much rotation for RAO esophagogram?

A

35-40º

17
Q

CR centering for RAO esophagogram?

A

perpendicular t T5/6, about 2-3” inf. to jugular notch

18
Q

CR centering for lat esophagogram?

A

perpendicular to T5/6, about 2-3” inf. to jugular notch

19
Q

CR centering for AP(PA) esophagogram?

A

perpendicular to 1” inf. to sternal angle, or 3” inf. to jugular notch

20
Q

collimate lat borders how wide?

A

5-6”

21
Q

breathing instructions w thick barium - esophagogram

A

2-3 spoonfuls swallowed, and expose immediately after swallowing last bolus (on expiration)

22
Q

breathing instructions w thin barium - esophagogram

A

continuously drink barium, expose after 3-4 swallows, using shortest exposure time

RTE 1513 (15 decks)

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