Imaging of the Abdominal Viscera Flashcards
Is radiography or CT more accurate in abdominal imaging?
- CT
What are the 4 key benefits of using X-ray imaging?
- cheap and quick
- easy for patient
- high spatial resolution (good for bone)
- low radiation dose
What are the 2 key negatives of using X-ray imaging?
- poor contrast resolution (poor for soft tissue)
- 2D imaging (superimposes structures)
What are the 3 key benefits of using CT scanners?
- quick and widely available
- cross sectional images instead of 2D
- high contrast resolution (good for soft tissue)
What are the 2 key benefits of using CT scanners?
- radiation dose
- IV Contrast die increases risks
What are the 3 key benefits of ultrasound in imaging?
- cheap, quick, no radiation
- cross sectional images
- offers US guided interventions
What are the 2 key negatives of ultrasound in imaging?
- operator dependent
- saved images are only a snapshot of examination
What are the 3 key benefits of MRI in imaging?
- contrast resolution
- specific applications (e.g. small bowel)
- no radiation
What are the 4 key negatives of MRI in imaging?
- limited availability
- patient experience (duration, claustrophobia)
- expense
- magnet / contrast die risks
Where should the X-ray cover in an abdominal X-ray?
- pubis bone up to diaphragm
- ilias of hips
In an abdominal X-ray should patients inhale or exhale on an X-ray?
- image is captured during exhalation
If a patient presents with abdominal pain only, is an X-ray, CT or ultrasound more appropriate?
- erect ultrasound or CT
- not an X-ray
If a patient has a clinical obstruction, would an abdominal X-ray be suitable?
- yes
If a patient has an acute exacerbation of inflammatory bowel disease, would an abdominal X-ray be suitable?
- yes
If a patient has a -alpable mass in the abdomen, would an abdominal X-ray be suitable?
- yes, but only specific cases
Constipation is generally not an indication for an abdominal X-ray. What patient group with constipation would an abdominal X-ray be suitable for?
- elderly patients
In acute and chronic pancreatitis is an abdominal X-ray always suitable?
- not always
- suitable in specific circumstances
If a patients has a sharp or potentially poisonous foreign body inside the abdomen, is an abdominal X-ray always suitable?
- yes
If a patients has a suspected smooth and small foreign body (e.g. battery) trapped in the abdomen, is an abdominal X-ray always suitable?
- yes
If a patients has a suspected blunt or stab injury in the abdomen, is an abdominal X-ray always suitable?
- yes
Solid organs and tissue can be detected on an abdominal X-ray. What are the key solid organs we should be able to identify?
- liver
- kidneys
- ilios muscles
When using abdomainl X-rays, what makes it difficult to identify all the organs of the abdomen?
- trapped gas in organs
Some organs in an abdominal X-ray can be identified due to the prescence of gas or calcification. What are some key hollow organs that we may be able to identify on an abdominal X-ray?
- stomach
- small and large bowel
- gall bladder
- urinary bladder
What are a few of the anatomical landmarks that need to be included on an abdominal X-ray?
- diaphragm
- L4 vertebral body
- iliac crest
- left and right flanks
- sacrum and superior pubic ramus
Air can be observed in the small and large bowels, but is this when the bowels are dilated or non-dilated?
- non dilated only