1. Chapter 13
Lower GI

2. Large Intestine Anatomy
From Iliocecal valve (___________)
_________
Appendix
Ascending colon

3. Large Intestine Anatomy
Hepatic flexure (___________)
Transverse Colon
Splenic Flexure (__________)
Descending Colon

4. Large Intestine Anatomy
Sigmoid Colon
___________
Anal canal
__________

5. Large Intestine Anatomy
___________
– Pouches of the large intestine
____________

6. Colon Orientation __________ aspects – Transverse and sigmoid
– Rectum, ascending, and descending colon

7. Barium and Air Distribution _________
Air within the _____ aspects
__________ and Sigmoid
Barium within the _______ aspects
Rectum, Ascending, and __________

8. Barium and Air Distribution ________
Air within __________aspects
Rectum, Ascending, and Descending
Barium within ____________
Transverse and Sigmoid

9. Intestine Purpose ___________ __________ – Primarily done in Small
– Primarily done in Small Some done in Large

10. Moving it Elimination (____________) Movement
– Large Intestine
Movement
– ___________Small and Large
____________churning in Large

11. Barium Enema Patient prep NPO __________ Bowel prep __________________
Cleansing enema
________________________

12. Contraindications to Laxatives
Gross ____________
Severe _____________
Obstruction
Inflammatory Condition
_______________

13. Room prep
___________
Gloves
Have everything ready ___________

14. BE Equipment Determine if it’s ____________ Contrast Enema tip
Single or Double
Check ___________
_____________

15. Barium Prep Barium bag Mixed with __________
_________– Scald mucosal linings
Bag should not be more than ___ above the table

16. Tip Insertion _____________________________
Have Barium ___________up to tip
Place pt in ____________ position
Lubricate tip
Have _____________and blow it out

17. Here It Comes!! On _____________ insert tip into rectum
Toward __________ then anterior/superior
Insert only 3 – 4 cm _____________
DO NOT ____________
Some rads will want to insert and some want you to inflate.

18. During Fluoro Assist the _____________ Control the ______________
Help the patient roll
_______________
Prepare for the worst and hope for the best

19. After The Radiologist Leaves
Work _____________
____________ the patient

20. Once your overheads are done
Ensure you did not ______________
Place the enema bag on __________
Drain as much as possible into ________
Assist the patient to the _____________

21. Barium Contraindications
Any possibility of a ____________
Bowel _________
If there is a contraindication
__________________contrast is used.

22. Other than the routine
___________
Colostomy
Un-prepped

23. BE Imaging Routine Scout kV – 75-80 AP kV - 100 RPO (RAO) kV - 100
LPO (LAO) kV - 100
Lt Lateral kV - 100
AP and/or PA Axial kV - 100
Post Evac kV – 75-80

24. AP / PA BE Position as a _____________ Center at crest
Have pt ____________

25. RPO _____________ Center at crest or ______ Center to mid body mass
Shows ______________
Same as __________

26. LPO ____________ Center at ___________ Shows ______________
Same as __________

27. Lateral Rectum Place pt on side (____________)
Center at _______________
Shows rectum

28. AP Axial (Butterfly) Supine _______________ Center ________________
Mid sagittal

29. PA Axial
Prone
____________
Center at ___________
Mid sagittal

30. Post Evac
PA or AP
Position as a routine ________

31. Air Contrast Additional Positions
Right and Left Decubitus
X-table Rectum

32. Right Lateral Decubitus
Place patient in true ____________
Using a __________holder place center of the cassette at the _____________
Center CR to cassette
Ensure arms are up
Shows ____________ levels

33. Left Lateral Decubitus
Position patient in true ___________
Center as RLD

34. X-table rectum Lie the ____________ CR to go ___________ the table
Center at __________ and mid coronal