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SEM II - Positioning > Practicum 4: esophagus/stomach/enema/urinary > Flashcards

Practicum 4: esophagus/stomach/enema/urinary Flashcards

0
Q

Esophagus:

Right Lateral Esophagus

A 
Patient in right lateral recumbent position
Top of the IR at level of patient’s mouth
MCP perpendicular to IR
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular, entering at level of T5/T6
​CR passes through MCP
​Knees flexed forward
​Arms flexed forward, hands near head
SID of 40"
“Drink, drink, drink”
Suspended respiration
Gonadal/Abdominal shielding
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1
Q

​Esophagus:

RAO Esophagus

A 
Patient recumbent and semi-prone
RAO position, 35 – 40o of rotation
​Top of the IR at level of patient’s mouth
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular, entering at level of T5/T6
​CR enters 3 inches to side up of spinous process
​Right arm along right side of body
​Left arm flexed, hand near head​
SID of 40"
“Drink, drink, drink”
Suspended respiration
Gonadal/Abdominal shielding
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2
Q

Esophagus:

PA Esophagus

A 
Patient in prone recumbent position
Top of the IR at level of patient’s mouth
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular, entering at level of T5/T6
​CR passes through MSP
Head turned to left side
​Right arm along right side of body
Left arm flexed, hand near head​
SID of 40"
“Drink, drink, drink”
Suspended respiration
Gonadal/Abdominal shielding
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3
Q

Stomach:

RAO

A 
​RAO Stomach
​Patient recumbent and semi-prone
RAO position, 40 – 70o of rotation    (45o for practicum)
​IR orientation (10 x 12) is dependent upon body habitus
​Left knee flexed forward
Right arm along right side of body
​Left arm flexed, hand near head​​​​
CR vertical and perpendicular, entering at level of L1/L2​​​
CR enters between spine and side-up MCP
​SID of 40”
​Suspended expiration
​Gonadal shielding
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4
Q

Stomach:

Right Lateral Stomach

A

Patient in right lateral recumbent position
​MCP perpendicular to IR
​IR orientation (10 x 12) is dependent upon body habitus
​Knees flexed forward
​Arms flexed forward, over head
​CR vertical and perpendicular, entering at level of L1/L2
​CR passes through MCP ​
SID of 40” ​
​Suspended expiration
​Gonadal shielding

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5
Q

Stomach:

PA Stomach

A

Patient in prone recumbent position
MSP perpendicular to IR
MCP parallel to IR
IR orientation (10 x 12) is dependent upon body habitus
Arms along head
CR vertical and perpendicular, entering at level of L1/L2
CR enters between spine and left rib margin
SID of 40” ​
​Suspended expiration
​Gonadal shielding

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6
Q

Stomach:

LPO Stomach

A 
Patient recumbent and semi-supine
LPO position, 30 – 60o of rotation    (45o for practicum)
​Patient straight on table  
​IR orientation (10 x 12) is dependent upon body habitus
​Right knee flexed upward
Left arm along right side of body
​Right arm flexed, hand near head​
CR vertical and perpendicular, entering at level of L1/TL2​
CR enters between MSP and side-down MCP
​SID of 40”
​Suspended expiration
​Gonadal shielding
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7
Q

Single Contrast Barium:

PA Barium Enema

A 
Patient recumbent prone
​​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters MSP at level of iliac crest
​Arms away from abdomen​
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
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8
Q

Single Contrast Barium:

RAO Barium Enema

A

Patient recumbent, semi-prone, RAO position
Patient rotated 35 - 45o from IR
Right arm along right side of body
Left arm flexed up near head
Left knee flexed forward
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters at level of iliac crest, 2” to side up of spine
​​SID of 40”
Suspended expiration
Gonadal/Abdominal shielding - as possible

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9
Q

Single Contrast Barium:

AP Axial Barium Enema - Rectosigmoid

A 
Patient in supine recumbent position
​10 x 12 lengthwise - portrait
​CR angled 30 - 40o cephalic
​CR enters MSP at a point that is 2" below ASIS
​Arms away from abdomen
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
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10
Q

Single Contrast Barium:

Lateral Rectum - Barium Enema

A 
Patient in lateral recumbent position - left or right
10 x 12 lengthwise - portrait
CR vertical and perpendicular to IR
CR enters MCP at level of the ASIS
Arms away from abdomen
Knees flexed forward
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
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11
Q

​Dual Contrast Barium:

AP Dual Contrast Barium Enema

A 
Patient recumbent and supine
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters MSP at level of iliac crest
​Arms away from abdomen​
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
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12
Q

Dual Contrast Barium:

​LPO Dual Contrast Barium Enema

A

Patient recumbent, semi-supine, LPO position
Patient rotated 35 - 45o from IR
Left arm along left side of body
Right arm flexed up near head
Right knee flexed upward
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters at level of iliac crest, 2” to side up of MSP
​SID of 40”
Suspended expiration
Gonadal/Abdominal shielding - as possible

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13
Q

Dual Contrast Barium:

PA Axial Dual Contrast Barium Enema

A 
Patient in prone recumbent position
​10 x 12 lengthwise - portrait
​CR angled 30 - 40o caudal
​CR enters MSP, passing through the level of the ASIS
​Arms away from abdomen
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
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14
Q

Dual Contrast Barium:

​Left Lateral Decubitus - Barium Enema

A

Patient in left lateral recumbent position​
​Back to IR, MSP centered to IR
​IR orientation (14 x 17) dependent upon body habitus
​Side down elevated 2 - 3” on radiolucent pad
​Arms extended over head
​Knees flexed for increased stability
​CR horizontal, passing through MSP at level of iliac crest
​Suspended expiration
​Arrow or decubitus marker
​Gonadal shielding - as possible

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15
Q

​IVP Series:

AP Nephrogram

A 
Patient recumbent supine
​10 x 12 crosswise - landscape
​CR vertical and perpendicular to IR
​CR enters MSP at a point between xiphoid and iliac crest
​Arms away from abdomen​
SID of 40"
Suspended expiration
Minute marker
Gonadal/Abdominal shielding - as possible
16
Q

IVP Series:

AP 5-Minute Image

A 
Patient recumbent supine
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters MSP at level of iliac crest
​Arms away from abdomen​
SID of 40"
Suspended expiration
5 minute marker
Gonadal/Abdominal shielding - as
17
Q

IVP Series:

RPO Oblique

A 
Patient recumbent, semi-supine, RPO position
Patient rotated 30o from IR
Right arm along right side of body
Left arm flexed up near head
Left knee flexed upward
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters at level of iliac crest, 2" to side up of MSP
​SID of 40"
Suspended expiration
Minute marker
Gonadal/Abdominal shielding - as possible
18
Q

IVP Series:

PA Prone Post-Void

A 
Patient recumbent prone
​14 x 17 lengthwise - portrait
​CR vertical and perpendicular to IR
​CR enters MSP at level of iliac crest
​Arms away from abdomen​
SID of 40"
Suspended expiration
Post-Void marker
Gonadal/Abdominal shielding - as possible
19
Q

Cystogram Series:

AP Axial Cystogram

A 
Patient in supine recumbent position
​10 x 12 crosswise - landscape
​CR angled 10 - 15o caudal
​SID compensated for beam angle
​CR enters MSP, passing 2" above the symphysis pubis
​Arms away from abdomen
​Legs extended
SID of 40"
Suspended expiration
Gonadal/Abdominal shielding - as possible
20
Q

​Cystogram Series:

LPO Oblique Cystogram

A

Patient recumbent, semi-supine, LPO position
Patient rotated 40 - 60o from IR
Left arm along left side of body
Right arm flexed up near head
Right knee flexed upward
​10 x 12 crosswise - landscape
​CR vertical and perpendicular to IR
​CR enters 2” medial to side-up ASIS, 2” above the pubis
​SID of 40”
Suspended expiration
Gonadal/Abdominal shielding - as possible

21
Q

Cystogram Series:

Left Lateral Cystogram

A

Patient in left lateral recumbent position
​10 x 12 crosswise - landscape
​CR vertical and perpendicular to IR
​CR enters at MCP of pelvis, 2” above the pubis
​Arms away from abdomen
​Knees flexed forward
SID of 40”
Suspended expiration
Gonadal/Abdominal shielding - as possible

SEM II - Positioning (5 decks)

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