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Ch 17 Digestive
Digestive System
Question | Answer |
---|---|
How long is the entire alimentary canal? | 30 ft |
What are the parts of the alimentary canal? | mouth, pharynx, stomach, small intestine, large intestine,and anus |
What is the terminal portion of the esophagus called? | cardiac antrum |
Where does the esophagus begin? | Level of C-6 |
What level does the esophagus pass through the diaphragm? | T-10 |
How many layers is the stomach composed of? | 4 |
What is the name of the muscle controlling the opening between the stomach and the duodenum? | Pyloric sphincter |
Which body habitus is the stomach nearly vertical? | Asthenic |
Which body habius is the stomach nearly horizontal? | Hypersthenic |
What are the main functions of the stomach? | storage, chemical breakdown of food |
What is the widest portion of the small bowel? | Duodenum |
What is the most distal portion of the small bowel? | Ileum |
What are the main functions of the small bowel? | Digestion, absorption |
What is the average length of the large intestine? | 5 ft |
How many layers is the large intestine made of? | 4 |
The jejunum and ileum are attached to the posterior wall of the abdomen by what? | mesentery |
What is the main functions of the large intestine? | reabsorption of fluids, eliminate waste |
The appendix is attached to what portion of the colon? | Cecum |
What was the junction named that connect the small intestine to the large intestine? | Ileocecal valve |
What are the contracting waves by which the intestines move the food towards the rectum called? | Peristalisis |
How long does it take barium to go through the alimentary canal to the rectum? | 24 hrs |
Which contrast mediums are used for the examination of the GI tract? | Air, Barium Sulfate, water soluble iodinated contrast |
What is the most common contrast medium used for x-rays of the GI tract? | Barium Sulfate |
What is the most important technical consideration when imaging the GI tract? | Elimination of motion |
What is the respiration phase for all GI exams, unless noted otherwise? | suspend expiration at the end of expiration |
What oblique position best demonstrates the esophagus? | PA, RAO |
What is the degree of obliquity for the esophagus? | 35-40 degrees |
What is the recommended position of the patient for a study on the esophagus? | Recumbent |
What are the 2 main reasons for laying a patient down for an exam on the esophagus? | better filling of the varices, more complete filling of the esophagus |
What projections are done to examine the esophagus? | Lateral, AP or PA, PA oblique |
What is the centering plane for a lateral esophagus? | midcoronal plane |
If an esophageal varices is suspected, what is the main instructions used for breathing? | expirate, swallow the barium, then hold breath out until exposure is made |
What are the instructions for an UGI concerning food or drink? | nothing to eat or drink after midnight |
What is the average amount of time food and drink needs to be withheld for an UGI study? | 8 hrs |
What are the main routines used for an examination of the stomach when concerning barium? | single contrast, double contrast barium studies |
Which drug may be given before a double contrast exam to help relax the GI tract? | Glucagon |
What are the advantages for doing a double contrast UGI? | small lesions are not obscured, lining of the stomach is better visualized |
When imaging the stomach in a PA position and using a 30x35 IR, where is the centering point? | sagittal plane passing halfway between the vertebral column and the left lateral border of the abdomen |
Where is the IR centered for a prone PA projection of the stomach and duodenum? | L1-L2 |
If standing up for a PA projection of the stomach, how much lower should the film be moved? | 3-6 inches |
What are the main projections for imaging the stomach and duodenum? | AP LPO, PA RAO |
What is the degree of obliquity for a PA oblique projection of the stomach? | 40-70 degrees |
________ patients require a greater degree of obliquity for imaging the stomach? | hypersthenic |
Which projection of the stomach shows the duodenal bulb and loop in profile? | PA RAO |
Where is the IR centered for MOST of the images done on the stomach and duodenum? | L1-L2 |
What projection of the stomach could a positioning sponge be used? | AP oblique |
What is the average degree of rotation for an AP obl projection of the stomach? | 45 degrees |
What is the range of rotation for AP obliques? | 30-60 degrees |
What projection(s) will demonstrate the fundus of the stomach the best? | AP LPO |
Which plane is centered to the grid for a lateral projection of the stomach? | a plane passing midway between the midcoronal plane and the anterior surface of the abdomen |
Which projection demonstrated the anterior and posterior surfaces? | lateral |
Which projection of the stomach demonstrates a hiatial hernia? | AP Trendelenberg |
Which projection of the stomach shows the retrogastric portionof the duodenum and jejenum? | AP supine, AP Trendelenberg |
Name the different methods for administering barium for a small bowel exam. | by mouth, reflex filling, enteroclysis |
What are the patient preparation instructions for a small bowel series? | No fluids after the evening meal the day before and no breakfast the day of the exam |
When is the first radiograph taken after the barium is ingested? | 15 min |
What are the main projection used for a small bowel? | AP, PA abdomen |
Where is the centering point for a small bowel 30 min after drinking the barium? | 2 in above the Iliac crests |
Where is the centering point for films taken 30 min after drinking the barium for a small bowel? | At the Iliac crests |
What is different in doing a small bowel exam compared to an UGI? | A timing marker |
What are the main ways to examine the large bowel? | single contrast, double contrast |
When do you use a high density barium? | double contrast exam |
What are the preparations for the bowels when doing a BE exam? | Laxatives, bowel cleansing regimen, dietary restrictions |
What position does the patient need to be in for the enema tip insertion? | Sims |
Who should be inflating the enema tip? | the radiologist using fluoro |
How far above the anus is the barium filled bag placed for a BE exam? | no higher than 24 inches |
How far do you insert the enema tip into the rectum? | No more than 4 in |
What are the methods of performing a double contrast enema exam? | single-stage, two-stage |
What is the respiration phase for all projection of the lg bowel? | suspend respiration |
Which projections will demonstrate the rectosigmoid area during a BE? | Lateral, AP and PA Axial |
What is the CR angle for a PA Axial of the large bowel? | 30-40 degrees caudad |
Where is the CR directed on and AP or PA oblique projection of the large bowel? | 1 to 2 in lateral to the midline of the body on the elevated side at the level of the iliac crests |
Which projections of the colon demonstrated the rt. colic flexure? | PA RAO, or AP LPO |
Which projections of the colon demonstrated the Lt. colic flexure? | PA LAO, or AP RPO |
What is the medical term used to describe the surgical procedure that forms an artificial opening to the intestine for fecal material to exit the body? | enterostomy |
What are the thick folds in the stoach termed? | rugae |
85% of the population are these body habitus types? | sthenic, hyposthenic |
Where is the cecum located? | the junction of the ileum and the colon |
Which body habitus is the intestines bunched together and very low in the abdomen? | asthenic |