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Merrill's Chapter 16
Abdomen
48
Health Care
Undergraduate 3
09/27/2011

Additional Health Care Flashcards

 


 

Cards

Term
Digestive system components
Definition

alimentary track

and

accessory organs

Term
digestive system is in the _____________ cavity
Definition
abdominopelvic
Term
abdominopelvic cavity extends from the __________ to the _________________
Definition

diaphragm;

 

bony pelvis

Term

Abdominopelvic cavity:

 

larger, superior portion is called

 

the _____________

Definition
abdominal cavity
Term

Abdominoplevic cavity:

 

lower portion

Definition
pelvic cavity
Term

abdominal cavity

 

contains:

Definition
  • Stomach
  • Small intestines
  • Large intestines
  • Liver
  • Gallbladder
  • Spleen
  • Pancreas
  • Kidneys
Term

pelvic cavity

 

contains

Definition
  • Rectum
  • Sigmoid
  • Urinary bladder
  • Reproductive organs
Term
peritoneum
Definition
double-walled membranous sac that encloses the cavity
Term

peritoneum:

 

inner layer

Definition
visceral peritoneum
Term

peritoneum:

 

outer layter

Definition
parietal peritoneum
Term
retroperitoneum
Definition
space behind peritoneum
Term
retoperitoneum contains:
Definition

kidneys

 

pancreas

Term
diaphragm is highest in ___________ body habitus
Definition
hypersthenic
Term

stomach is

 

most vertical and lowest

 

in ________________ body habitus

Definition
asthenic
Term

stomach is

 

highest and most horizontal

 

in ____________ body habitus

Definition
hypersthenic
Term

True or False:

 

body habitus is helpful in

 

determining the location of abdominal organs

Definition
True
Term
patient preparation consists of any combination of:
Definition

controlled diet

 

laxative

 

enema

Term
intestinal tract preparation is not administered to acutely ill patients or those with ________________________________.
Definition

suspected visceral rupture

 

perforation

 

obstruction

Term
proper abdomen technique should demonstrate a ________________ gray scale
Definition
moderate
Term
AP or PA Abdomen technique
Definition
75 kVp, 200 mA with all AEC cells activated
Term
Decubitus abdomen technique
Definition
80 kVp, 200 mA with center AEC cell activated
Term

Tissue structures used to determine effective technique

 

5 things

Definition
  • Lower liver border
  • Psoas muscles
  • Kidneys
  • Ribs
  • Transverse processes of lumbar vertebrae
Term
Abdomen SID
Definition
40 inches
Term

easier to shield __________ patients

 

for abdomen radiography

Definition
male
Term
respiration
Definition
exposure made at end of full expiration
Term
exposure made at end of full expiration to ________________________
Definition

decrease compression of abdominal organs

 

(diaphragm goes up)

Term
bowel obstruction
Definition
blockage of bowel lumen
Term
ileus
Definition
failure of bowel peristalsis
Term
pneumoperitoneum
Definition
presence of air in peritoneal cavity
Term
tumor
Definition
new tissue growth where cell proliferation is uncontrolled
Term
3 way abdomen (acute abdominal series) consists of:
Definition

AP Abdomen - Supine

 

AP Abdomen - Upright

 

PA Chest

Term
2 way abdomen (called "flat & upright")
Definition

AP supine

 

AP upright

Term
if patient cannot stand for upright abdomen do a ____________________
Definition
left lateral decubitus
Term
upright abdomen or left lateral decubitus demonstrates ______________________
Definition
air/fluid level or free air
Term
Supine AP abdomen also called _________
Definition
KUB
Term
KUB stands for
Definition
kidneys, ureters, & bladder
Term

AP Supine Abdomen

 

CR

Definition

perpendicular to IR

 

enters MSP @ level of iliac crests

Term
AP Abdomen, Supine Evaluation Criteria
Definition

Area from pubic symphysis to upper abdomen included Abdomen aligned and centered

Centered vertebral column

Ribs, pelvis, and hips equidistant to edge of image on both sides

No rotation

Spinous processes in center of lumbar vertebrae

Ischial spines of pelvis symmetric, if visible

Alae or wings of ilia symmetric

Term
KUB (supine) pt position
Definition
supine, without rotation
Term
Upright AP IR centered ______ inches above the ____________to include the diaphragm
Definition
2; iliac crests
Term

If bladder is to be included on upright,

 

center IR to

 

_________________

Definition
iliac crests
Term
AP Abdomen, Upright Evaluation Criteria
Definition

Same critique criteria as supine position, as well as:

 

Diaphragm without motion

Density on upright similar to supine

Reduce density if pneumoperitoneum is suspected

Marker indicating upright position

Term
PA ___________________ and should be considered when kidneys are not of primary interest.
Definition
reduces gonadal dose
Term

PA Abdomen, Upright

 

pt position

Definition

Upright with anterior surface in contact with vertical grid device

Weight equally distributed on both feet

MSP centered to grid

Term

PA Abdomen, Upright

 

CR

Definition

Perpendicular to IR

 

Enters patient on MSP at level of 2" above iliac crests

 

*Evaluation criteria are the same as for upright AP projections

Term

AP Abdomen, Left Lateral Decubitus

 

When would you do this?

Definition

Performed in place of upright position

for patients who are too ill to stand

Term

AP Abdomen, Left Lateral Decubitus

 

pt position

Definition

Recumbent left lateral on a radiolucent pad

Arms above level of diaphragm

Knees flexed slightly

Center iliac crests to IR or 2" above, if diaphragm is to be demonstrated

Term

AP Abdomen, Left Lateral Decubitus

 

Evaluation Criteria

Definition

Diaphragm without motion

Both sides of abdomen - If this is not possible, then Elevate and demonstrate:

  • side down if fluid is suspected
  • side up if pneumoperitoneum is suspected

Abdominal wall, flank structures, and diaphragm

No rotation

ID indicating side up visible

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