The Abdomen

Question 1

Clinical indications

Answer 1

Bowel obstruction/perforation
Acute exacerbation of inflamitory bowel disease
Palpable mass
Foreign body
Abdominal injury
Haematuria, renal colic

Question 2

Projections

Answer 2

Routine
=> supine AP abdomen

Additional
=> kidneys utterer bladder (KUB)
=> lateral decubitis
=> prone
=> erect abdomen

Question 3

Room prep

Answer 3

Grid used - IR placed in table bucky
Beam = 90°
SID = 100cm

Question 4

Patient prep

Answer 4

Exam justified (history, referer)
Correct patient selected on computer
Patient changed into gown
Patient remove metal (piercings, jewellery, underwear)
ID checked (name, dob, address) - procedure confirmed
Explanation of procedure & consent obtained
LMP
Once positioned move table only

Question 5

Positioning

Answer 5

Supine on table arms slightly abducted away from body
Spinous process midline of vertebral bodies, align with midline
Iliac crests should appear symmetrical indicating no rotation
MSP fully aligned to centre of detector

Question 6

Centring point

Answer 6

Midline at level of iliac crests