specials operative cholangiogram

Question 0

Demonstrate anatomy of ____ _____ system drainage into _____, and any residual stones in ____ ____

Performed before or following surgery of _____

Surgeon places small catheter into biliary ducts and injects ___ -____ml contrast media into ducts

Respiration suspended

Using mobile or c arm units

Answer 0

.Demonstrate anatomy of biliary ducktal system drainage into duodenum, and any residual stones in biliary ducts

Performed before or following surgery of gallbladder

Surgeon places small catheter into biliary ducts and injects 6-8 ml contrast media into ducts

Respiration suspended

Using mobile or c arm units

Question 1

First performed in 1932

Answer 1

.

Question 2

Equipment used

C arm setup

____ in surgeons view

C arm in vertical alignment with X-ray tube beneath ____

Sterile drape over _____ ____

C arm should be moved ____ from surgical field until needed

Anesthelogist stops patient breathing

Answer 2

C arm setup

Monitors in surgeons view

C arm in vertical alignment with X-ray tube beneath table

Sterile drape over image intensifier

C arm should be moved away from surgical field until needed

Anesthelogist stops patient breathing

Question 3

Mobile cholangiogram

Top cassette at ____

Size film?

Ir in special slot under table closest to ______

Answer 3

Top cassette at armpit 14x 17

Ir in special slot under table closest to anestheologist

Question 4

Laproscopic cholecystectomy

Less invasive

Small opening in ____ and scope into ____

Used visual detection of pathology a well

Advantages: ____ procedure, minimally ____, reduced ____ for hospital, patient

Not for every patient with complex ____

Answer 4

Less invasive

Small opening in umbilicus and scope into abdominal

Used visual detection of pathology a well

Advantages: outpatient procedure, minimally invasive, reduced cost for hospital, patient

Not for every patient with complex disease

Question 5

Procedure for cholangiogram

Tech in ____

If portable, ____ image needed

Once surgeon places in ____ ducts , unit set up again for image , then surgeon injects ___-____ml contrast

If or table is tilted for oblique position and mobile unit being used ____device placed ____to avoid ___ ____

Answer 5

Tech in scrubs

If portable, scout image needed

Once surgeon places in biliary ducts , unit set up again for image , then surgeon injects 6-8 ml contrast

If or table is tilted for oblique position and mobile unit being used grid device placed crosswise to avoid grid cutoff

Question 6

Images obtained

___ preferably ____ in diff positions

Each image is proceeded by ____ injection

Positions (3)

_____ is helpful projecting biliary ducts away from spine, specially with hypothetic patient

C arm may have be ____ to project _____ ducts away from spine

Answer 6

Two preferably three in diff positions

Each image is proceeded by contrat injection

Positions (3) ap, slight rpo, slight lpo

___rpo__ is helpful projecting biliary ducts away from spine, specially with hypothetic patient

C arm may have be ___tilted_ to project biliary ducts away from spine

Question 7

Anatomy demonstrated

Common ____ duct , ____ duct, ____ duct

If cholangiogram performed before gallbladder surgery ____ infanced well

If ____ or biliary duct _____ is present , opacity of biliary ducts demonstrated

Answer 7

Common bile duct , hepatic duct, cystic duct

If cholangiogram performed before gallbladder surgery Gallbladder infanced well

If stones or biliary duct stenosis is present , opacity of biliary ducts demonstrated