Radiology abdomen and pelvis (crum) Flashcards
How do we evaluate the abdomen and pelvis radiographically?
Break down into quadrants.
Common modalities used to image abdomen and pelvis
Plain films or x rays Ultrasound C.T. MRI Floro of floroscopy
Does plain films or x rays cause radiation to the patient?
yes
Does ultrasound cause radiation to the patient?
NO
Does MRI cause radiation to the patient?
NO
Does C.T. cause radiation to the patient?
yes
What is ratio of plain film x rays to Cat scan?
1000 to 1
What does CT stand for?
Computerized tomography
What does MRI stand for?
Magnetic resonance imaging
Does Flore or floroscopy cause radiation to the patient?
yes
What are the 5 quadrants?
Epigastric RUQ LUQ RLQ LLQ
Epigastric quadrant pain can come from?
Esophagus, stomach, pancreas, aorta, biliary system
What does fluoroscopy do?
Sees how you swaller barium and how it flows through the upper GI tract.
Most common pathology of Epigastric quadrant pain…
Pancreatitis, Gastric Ulcers, Aneurysms of Aorta
IF patient is able to swallow the barium should you do it with or without contrast?
With contrast
If aorta is white there is _______…
If stomach has white in it there is ______…
IV contrast
oral contrast
Right upper quadrant pain what is the first test to give and what is the most common pathology?
Start with ultrasound
usually gall bladder (Cholycystitis)
Any time you have blunt abdominal trauma what organ us most commonly injured?
Spleen
True/False: Whenever you have abdominal trauma you should not do it with contrast.
False, should do it WITH contrast
Right Lower quadrant what are the main pathologies?
Ovarian and Testicular torsion
Best test for LUQ?
C.T. with contrast
What quadrant does constipation lead to?
any quadrant
What is test of choice for women that says pain happens once a month and you think ureter for women, or ovarian torsion?
Start with ultrasound
RLQ what is the first pathology you should think of?
Appendicitis
LLq what is the most common pathology?
Diverticulitis
