GIGU Imaging Flashcards
what is a KUB good for?
it is used as a screening test for acute abdominal disease
a KUB is good screening, but if you want more information you will need more films. What should you order?
an acute abdominal series
what is an acute abdominal series useful in identifying?
air under the diaphragm, obstruction (air-fluid levels within the bowel), fractures, and nasogastric tube placement
if you have a patient with significant abdominal pain, appears to be bloated/distended, they have diminished bowel sounds/ high pitched bowel sounds, what would you order?
an acute abdominal series
what is ultrasound good for identifying?
size, shape, inflammation, and stones (like in the gallbladder)
what is ultrasound limited by?
bowel gas- like a bowel obstruction because the overlying bowel gas would lead to too much artifact
what would order for a suspected gallstone or gallbladder disease?
RUQ US
what would you order for pancreatitis?
US of the pancreas
what would you order for a suspected appendicitis?
RLQ/appendix US
what would you order for a suspected ovarian mass?
pelvic or transvaginal ultrasound
what would you order for kidney dysfunction, palpable mass, or painless hematuria?
Renal US
if a patient comes in with chronic HTN and elevated creatinine, what might you order?
renal US
what occurs during a HIDA scan?
there is nuclear tagged material injected intravenously, taken up by the hepatocytes and excreted into bile
what is failure of the GB to fill caused by?
edema of the cystic duct (acute cholecystitis), obstruction by a stone (cholelithiasis) or functional gallbladder disorder
when should you avoid a HIDA scan?
during pregnancy
