S4S: Abdo X-Ray Megan Lloyd.

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Presentation transcript:

S4S: Abdo X-Ray Megan Lloyd

Presenting an X-Ray Projection Patient details Adequacy State obvious abnormality/that it is a normal x-ray Systematic review of film Summary

Projection Supine AP Also lateral or upright positions to visualise air-fluid levels Assume it is supine AP unless otherwise stated

Patient Details Name DOB Date Time

A- Adequacy Apparatus B – Bones ‘C’ – Soft Tissues - Calcifications SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Adequacy Field – Diaphragm to groin Adequacy of penetration (can you see the spinous processes?) Alignment (is the patient twisted or lying flat?) SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Apparatus Appear bright white on x-ray May be from Medical procedures Piercings Trauma Ingested foreign bodies “Curiosity”

IUD SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Belly bar (external) SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Uretal stent SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Bones Fractures Abnormal Calcifications

Soft Tissue - Air Intraluminal Intramural: ischaemic colitis Bowel obstrurction 3-6-9 rule: Small bowel <3cm Large bowel <6cm Caecum <9cm Intramural: ischaemic colitis Extraluminal Diaphragm in erect view: pneumoperitoneum

Haustra vs Plicae Circulares (valvulae conniventes) Large Bowel Small Bowel

Small Bowel Obstruction valvulae conniventes/plicae circulares Central location >3cm SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Large Bowel Obstruction Haustra Peripherally located >6cm SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Sigmoid volvulus Coffee bean sign! SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Ischaemic Colitis Thumbprint sign SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Pneumoperitoneum

Apple Core Sign Colon Cancer Barium enema

Calcifications Kidney Stone Staghorn

Quiz!

Small Bowel Obstruction SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Sigmoid volvulus SMITH, Emma dob 12/03/1964 04/02/2016 14:32

Colon Cancer SMITH, Emma dob 12/03/1964 04/02/2016 14:32