what is achalasia
failure of paristalsis and relaxation of the sphincter
main spot views with sialography
tangential (supine/prone) parotid perpndicluar to ir and lateral submandibular
why control image for sialography
to look for radio-opaque calculi
what is cannulized in an HSG
cervix
what is the esophogeal tissue
involuntary smooth muscle and voluntary skeletal striated muscle
barium filled stomach xray what do ap/pa and lao/rao/lpo/rpo do to the barium in the stomach?
PA - barium in body and pyloric section of the stomach (bottom not at spnhincter)
AP - barium in fundus and duodenum and duodenal bulb
Lat - spine in lateral (right puts it all in bottom, left puts it all in the fundus and top)
LPO - barium in fundus and drifting through the body, spine obliqued
RAO - barium in pylorus and duodenum and spine obliqued
why double contrast for upper GI
smaller lesions are more obvious with air and contrast
what are the body habitus types
hyper- super fat and high and transverse stomach
sthenic - little less high, more jshaped but not really
hyposthenic- stomach j-shaped but not long
asthenic - longggg stomach and very skinny j shaped
why trendelenburg position for upper GI
to evaluate for a hiatal hernia
why use water soluble contrast
in case of perforation it is safe – water soluble is more easily processed – good deliniation of the colon, filling is fast, not subject to drying
duodenum is supported by what ligament
ligament of treitz
what image demonstrates the transverse colon the best
AP/PA projection
pathology: intussusception is what
when something telescopes into something else (small intestine into large intestine) seen with circle sign
what is the ampulla vater… what ducts form it
pancreatic, and common bile
When performing ERCP where does the catheter insert into
ampulla of vater– usually done to clean out stones
cholangio means…
used to visualise the bile ducts, means that we are looking at the liver bile ducts
moderate severe mild reactions to contrast
moderate reaction - tachycardia, hypertension, dyspnea, hypertension, wheezing, itching, vomit
severe - anaphylaxis, cardiac/resp crisis
mild- arm metallic taste, sneeze
anterograde vs retrograde
antero goes with flow, retrograde goes against the flow
bladder and lower ureter exam name
retrograde does not demonstrate what
kidney function
the functional unit of the kidney
nephron
radiographic image shows what
retrograde - catheter in bladder
anterograde - no catheter per IV
ovum is captured by what structure
drawn to fallopian tubes by fimbrae
in the menstraul cycle what phase should xrays be taken
phase 1-10 days of cycle follicular