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Rad 435 practical Review . Manal alOsaimi. Contents . Ba Swallow ( Esophagogram ). Ba Meal. Ba Follow through. Ba Enema. Gall Bladder & Biliary Ducts. Sialography . Hysterosalpingography . Urography procedure. Marks . Total Practical Fluoro = 20 Marks. Ba Swallow.

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contents
Contents
  • Ba Swallow (Esophagogram).
  • Ba Meal.
  • Ba Follow through.
  • Ba Enema.
  • Gall Bladder & Biliary Ducts.
  • Sialography.
  • Hysterosalpingography.
  • Urography procedure.
marks
Marks
  • Total Practical Fluoro = 20 Marks
write the name of the procedure

Barium Swallow

Write the name of the procedure
  • RAO
  • The esophagus is seen between the heart and
  • the spine
  • The patient is rotate 35- 40 degrees with the RT side against the table
barium swallow
Barium Swallow

1

Esophagogastric Junction

( Cardiac Orifice)

stomach openings and curvatures
Stomach openings and curvatures

Stomach subdivisions:

1- fundus: upper portion of the stomach.

2- body.

3- pylorus

When the stomach is empty

The internal lining is thrown into numerous longitudinal folds called RUGAE

slide13

1- cardiac orifice (esophagogastric junction): opening between the esophagus and the stomach.

2-cardiac notch: superior to the cardiac orifice.

3-distal esophagus.

4-pyloric valve or sphincter: distal opening of the stomach.

5- lesser curvature: medial border of the stomach, extends between the cardiac and pyloric openings.

6-greater curvature: lateral border of the stomach, four or five times longer than the lesser curvature.

barium meal1
Barium Meal

Distal esophagus

Esophagogastric junction (cardia orifice)

Lesser curvature

Angular notch

Pylorus of stomach

Pyloric valve

Duodenal bulb of the duodenum

Descending portion of the duodenum

Body of stomach

Greater curvature of stomach

Gastric folds

Fundus of stomach

ba in fundus

Barium Meal

Ba in fundus

2

LPO recumbent

SUPINE

(AP recumbent)

barium meal2
Barium Meal

2

Air in fundus

Prone

RAO

barium meal3
Barium Meal

2

  • Air in fundus

Erect

anatomy
ANATOMY

Parts of S.I:

Duodenum: 1st,shortest,widest and most fixed.

Jejunum: 2/5 and feathery appearance.

Ileum: 3/5, longest, smooth no feathery appearance, and joins large intestine at ileocecal valve

anatomy1
ANATOMY

A: duodenum

C: jejunum

D:ileum

E: area of ileocecal valve

PA 30 mins

small bowel series1
Small Bowel Series

1.Ba Meal Follow through

30 minutes

1 Hour

2 Hour

small bowel series2
Small Bowel Series
  • 2.Barium follow through
small bowel series3
Small Bowel Series

2.Ba Follow through

enteroclysis
Enteroclysis
  • Injection of c/m into the S.B.
  • It is a Double contrast method used to evaluate the S.B.
  • the pt is intubated under flouroscopic control with a special catheter. Stomach → duodenum → duodenojujinal junction.
  • CM
    • Thin BaSO4. ( Coats the mucosa).
    • Air or Methylcellulose, why ? which is Better ?

To distend the bowel and provide double contrast

Methylcellulose, shows the mucosal details as it adheres to the walls and distends the bowel.

It propel the barium from intestine

It evacuate barium from the large intestine.

small bowel series4
Small Bowel Series

3.Enteroclysis

intubation s b enema
Intubation ( S.B enema)
  • It is a single contrast method where a nasogastric tube is passed through:

pt’s nose→esophagus→stomach→duodenum and into the jejunum. (RAO position is preferred ? )

To help pass the tube from stomach →duodenum by gastric peristalsis.

  • C.M: thin BaSO4 or water soluble iodinated c.m.
small bowel series5
Small Bowel Series

4.Intubation

technique
Technique

Preliminary Film to:

Bowel preparation.

Complete obstruction, Perforation

slide36

Splenic flexure

Hepatic flexure

Transverse colon

Aescending colon

Descending colon

Sigmoid colon

single contrast

barium enema2
Barium Enema

4

Single Contrast

air barium distribution
Air Barium Distribution

4

Supine

  • Transverse c. filled with air

Prone

  • Transverse c. filled with ba
barium enema3
Barium Enema

4

LT LAT Decubitus

barium enema4
Barium Enema

4

RT LAT Decubitus

barium enema5
Barium Enema

RPO

Splenic flexure descending colon appear open

barium enema6
Barium Enema

LPO

Hepatic flexure ascending colon and rectosigmoid region appear open

barium enema7
Barium Enema

4

Hepatic Flexure

  • Splenic Flexure
barium enema8
Barium Enema

4

RectoSegmoid Region

gall bladder and biliary system procedures
Gall Bladder and Biliary System Procedures

Definition

Performed during surgery, usually During a Cholecystectomy (wherein the surgeon removes the GB).

Indication

If the surgeon suspects that residual stones are located in the biliary ducts

operative immediate cholangiogram
Operative (Immediate) Cholangiogram

Lt hepatic duct

Rt hepatic duct

Common hepatic duct

Common bile duct

catheter

gall bladder biliary ducts
Gall Bladder & Biliary Ducts

5

Catheter

T-shape

Endoscope

sialography
Sialography

Definition

radiographic examination of the salivary ducts.

sialography2
Sialography

6

Lateral

hystrosalpingography
Hystrosalpingography

8

A = RTfallopian tube.

B = Uterine cavity .

C = LT fallopian tube.

D = Catheter.

retrograde cystography cystogram
Retrograde Cystography (Cystogram)

Definition

Is a Non Functional radiographic examination of the urinary bladder after injection of CM via urethral catheter

A retrograde cystogram is a radiographic study of the bladder, made after a direct injection of a radiopaque contrast material by means of a urethral catheter

CM

Urographine

mcug micturating cystourethrography
MCUG MicturatingCystourethrography

Definition

Is a Functional radiographic examination of the urinary bladder and urethra to evaluate the patient’s ability to urinate.

micturatingcystourethrogram (MCUG), is a technique for watching a person's urethra and urinary bladder while the person urinates (voids).

CM

Urographine