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Esophagus and UGI. Patient Preparation  Ask if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.)  Any jewelry that might obscure.

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Presentation on theme: "Esophagus and UGI. Patient Preparation  Ask if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.)  Any jewelry that might obscure."— Presentation transcript:

1 Esophagus and UGI

2 Patient Preparation  Ask if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.)  Any jewelry that might obscure the certain areas of interest. ( navel rings)  Present patient with a gown to change into.

3 Esophagus  One view RAO  14 x 17 Lengthwise  Average technique

4 Positioning  Patient prone on the table  Rotate with the right anterior portion against table.  Place right arm down beside patient  Left arm flexed at elbow by patient’s head to hold cup  Flex left knee for support  Shield patient at waist.

5 CR is perpendicular to T5-T6 About 3 inches below jugular notch SID 40 Collimate about 6 inches wide. Place marker in light field Suspend breathing

6 Film critique  Esophagus should fall between spine and heart.  Esophagus should be filled with barium  Adequate rotation

7 UGI  3 views  AP, 14 x 17  LPO, 11 x 14  Right Lateral 11 x 14  Page 480  4-7

8 AP Positioning  Patient is supine on the table.  Align stomach to midline of table.  Ensure body is not rotated.  Arms at side  Place shield over waist

9 CR perpendicular to L1 Mid-way between lower rib margin and Xiphoid tip SID 40 Collimate to cassette and place marker in light field Expiration

10 Different centering positions for all positions  Sthenic patient is at L1  Hypersthenic is 1 inch above L1  Asthenic is 2 inches below L1 and nearer to mid-line

11 Film Critique  Entire stomach and duodenum  Diaphragm and lower lung fields  Fundus is filled with barium

12 Positioning of patient for LPO  Patient supine on table  Rotate degrees from supine depends on size of patient.  Flee knee for support  Extend left arm from body and raise right arm across chest to hold to side of table  Place bottom of cassette or Light at the top of the crest  Shield patient at waist.

13 Rotation for LPO UGI  Sthenic 45 degrees  Hypersthenic 60 degrees  Asthenic 30 degrees

14 CR midway between xiphoid tip and lower rib margin mid-way between the midline and left lateral side. SID 40 Collimate to cassette and place marker in light field Expiration

15 Seen on Film Seen on Film  Stomach and duodenum  The duodenal bulb  Barium filled fundus

16 Positioning for Right lateral  Roll patient up on right side  Shoulders and hips in true lateral positioning  Flex knees and position arms up out of way  Midline is 1 to 1 ½ posterior to midline of table  Place shield over waist

17 CR L1 and 1-1 ½ inches anteriorly bottom of light at top of crest SID 40 Collimate to cassette Expiration

18 Film Critique Film Critique  Entire stomach  Retrogastric space  No rotation


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