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Standard plain films: supine AP erect AP Lt. lateral decubitus
gas pattern :intraluminal, intramural Exrtraluminal gas Soft tissue masses Calcification
1. What segment ? 2. The caliber ? 3. The most distal point ? 4. The gut mucosa ? 5. Air - fluid levels ?
The stomach: Location Pattern fluid level
Small bowel Caliber Location Pattern fluid levels
Large bowel Caliber Location Pattern fluid levels
The Location Assessment of mucosal pattern : 1. Plicae circularis 2. Colonic haustra Number of loops Lower ileum & sigmoid colon ??
Usually seen in erect position Stomach Duodenum Small bowel Large bowel
Mechanical obstruction Paralytic ileus Acute ischemia Inflammatory bowel disease
-Causes : -Features:
-Causes : -Features:
Causes : Features of dilated large & small bowel Gas is seen within the rectum
Causes : Features
Sigmoid volvulus :
Causes Features Barium enema is CONTRAINDICATED
ERECT FILMS, additional views Causes Features
Bowel wall ischaemia
Assess : the location (two views), the pattern the shape Common calcifications
Rim like Linear Lamellar Cloudy
In normal subject 1. Lateral & inferior edge of liver 2. Spleen 3. Both kidneys 4. Psoas muscles 5. UB 6. Uterine indentation
Plain abdominal X-ray. Normal plain abdominal X-ray.
Abdominal X-Rays for Phase 4. A Systematic Approach…
RADIOLOGY REVIEW Plain films of abdomen. ABDOMEN Soft Tissue Findings.
GI Tract Physiologic Disturbances. Intestinal Obstruction Obstruction to the antegrade flow of intestinal contents Mechanical –Blockage within the lumen.
Inflammatory Intestinal Diseases. Ulcerative Colitis Unknown etiology Mucosal inflammation and ulceration in the large intestine Always involves the rectum.
THE ACUTE ABDOMEN Patients with an acute abdomen comprise the largest group of people presenting as a general surgical emergency. In most acute abdominal.
Ancillary Procedures Abdominal x-ray Abdominal CT scan Barium enema(Upper GI and small bowel series)
Radiology of the abdomen. Radiological modalities 1. X – Ray 2. Flouroscopy 3. U/S 4. CT scan 5. MRI.
Bowel obstruction. By definition is a mechanical or functional obstruction of the intestines, preventing the normal transit of the products of digestion.
ABDOMINAL X-RAYS. Plain abdominal X-rays not as useful as plain chest X-rays because of contrast factors Lung pathology (pneumonia, CA, effusion, etc.)
University Hospitals Case Medical Center Department of Radiology.
BASIC GI RADIOLOGY THE “FLAT” PLATE Michael Maristany, MD Janis Letourneau, MD After: Robert S. Perret, MD.
RADIOLOY OF GIT (BLOCK) OBJECTIVES By the end of this lecture students will be able to Know the radiological anatomy, of the esophagus, stomach, appendix,
Most important points in Radiology of GIT -Written exam -OSPE exam.
The standard contrast examination is barium follow-through (that involves drinking ml of barium then taking films at regular intervals until.
The Abdominal X-Ray For: Nottingham SCRUBS 26 th August 2006 By: Ian Bickle, North Trent Radiology Training Scheme.
Diagnostic Imaging of the Gastrointestinal Tract.
ABDOMEN AND PELVIS RADIOGRAPHS AND IMAGES: X-RAYS AND ANGIOGRAMS 2007.
Barium Studies For GIT Radiographic Anatomy & Pathology.
Imaging of IBD and Other Colitides Cynthia Walsh, MD FRCPC Department of Radiology.
Approach to Abdominal Plain Film Radiology Nalin Amin, MD, CCFP, FRCSC Assistant Professor Dept. Of Surgery, McMaster University.
Chapter 15 Lower GI. Large Intestine Anatomy From Iliocecal valve (Terminal Ileum) ____________ –Appendix ____________ colon.
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Radiological Interpretation Gastrointestinal System Reference notes: Radiology and Images for students – British medical Journal.
Gastrointestinal Inflammation. Mucosal changes Indirect evaluation in most cases Evaluate lumen and effect on lumen Degree of mucosal involvement determines.
Abdominal Imaging. The abdominal radiograph Why do we see any structure on a normal abdominal radiograph? It has to be surrounded by tissue of different.
Ischemic Colitis Ri 陳宏彰. Reference books Harrison’s online 15th Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice, 5th ed., Copyright ©
Pediatric Cases. CHEST PA Metallic density Right paracardiac region.
Back to Basics Radiology 2010 Back to Basics Radiology 2010 Rebecca Peterson Department of Radiology University of Ottawa.
Abdomen and gastro - intestinal tract imaging Abdomen and gastro - intestinal tract imaging Dr. Jehad Fataftah Interventional Radiology Hashemite University.
Abdominal X-Rays Tutorial Ian Anderson 20/03/2007.
Presentation, diagnosis and management of bowel obstruction Mr Alastair Moses Consultant Surgeon NHS Tayside.
Intestinal obstruction Its divided into two main groups. The paralytic obstruction i.e.: (paralytic Ileus) & mechanical (dynamic) obstruction. Mechanical.
Student Case Presentation Radiology Elective Period 5 ACR FA Kuyateh UVA SOM ‘05.
Chapter 13 Lower GI. Large Intestine Anatomy From Iliocecal valve (___________) _________ –Appendix Ascending colon.
Pneumothorax & pneumopericardium. Pneumothorax, pneumopericardium pneumoperitoneum, subcut. emphysema.
Anteroposterior View of the Abdomen With Patient Standing How do we know the patient is standing? Look for the location of the gas bubble in the stomach.
Case Report #0492 Submitted by:Paul D. Bertolino, M.D. Faculty reviewer:Venkateswar Surabhi, M.D. Date accepted:10 March 2008 Radiological Category:Principal.
The Abdominal X-Ray drmbajjeh. Contents: Normal Anatomy Types of Projection Assessing the Film Technical Qualities Gas containing structures Solid Organs.
History Age: 17 months History: Female infant with recent history of low grade fever. Presented to the ER on August 8 th with increasing episodes of intermittent.
Karen Gormley. Vomiting +/- blood Diarrhea +/- blood Anorexia Alternative to contrast studies Abnormality on radiograph Neoplasia suspected.
Tehran Medical School Sina Hospital Mahmoud Najafi.
Problem solving A patient with a clinical history of hiatal hernia comes to the radiology department. Which procedure should be performed on this patient.
DR MOSES ACAN DEPARTMENT OF RADIOLOGY. l Acute abdominal pain Is Pain unrelated to trauma l It is one of the most common conditions in patients presenting.
Barium meal follow through.Barium follow through (Small Bowel only Series).EnteroclysisIntubation ( Small bowel enema).
Fluoroscopic Investigations Of The Gastrointestinal Tract Small & Large Bowel.
INTESTINAL OBSTRUCTION Presented by:- Amani aziz alrahman.
2-year-old with Abdominal Pain Case MRN Sarah Kurian, MS4 Diagnostic Radiology February 2014.
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