Lab 8: GI tract with barium File

Question 1

10 - green arrow

Answer 1

Ileum

Note: smoother mucosal surface

Question 2

9 - red arrow

Answer 2

Jejunum

Note: feathery appearance

Question 3

8

Answer 3

Descending duodenum.

Note: The transverse and ascending duodenum are not well visualized due to overlying jejunum.

Question 4

7

Answer 4

Duodenal bulb

Question 5

6

Answer 5

Collection of barium is narrowed significantly by the pyloric sphincter.

Question 6

5 - purple arrow

Answer 6

Indentation in greater curvature is caused by the spleen

Question 7

4 - yellow

Answer 7

Greater curvature of the stomach body

Question 8

3 - blue arrow

Answer 8

angular incisure

Note: The sharp angle in the lesser curvature

Question 9

2 - green line

Answer 9

Lesser curvature (upper margin of the body of the stomach)

Question 10

1 - red outline

Answer 10

Fundus of the stomach filled with air. Some rugalfolds are outlined by the barium between them.

Question 11

yellow

Answer 11

left posterior mediastinophrenicangle

Question 12

red arrows

Answer 12

peristaltic contractions

Question 13

purple arrows

Answer 13

rugal folds

Question 14

Small indentations

Answer 14

rugal folds in the greater curvature of the stomach

Question 15

name the view and subject

Answer 15

lateral view of the stomach

Question 16

green

Answer 16

jejunum

Question 17

purple arrow

Answer 17

duodeno-jejunal junctions

Question 18

red

Answer 18

ascending duodenum

Question 19

blue

Answer 19

Barium in the transverse duodenum

Question 20

green arrow

Answer 20

rugal folds

Note: linear lucencies

Question 21

red arrow

Answer 21

barium fills the fundus of the stomach

Question 22

Red arrow

Answer 22

longitudinal mucosal fold in the esophagus

Note: No more than 4 of these folds should be seen in the distal esophagus.

Question 23

Blue arrow

Answer 23

barium in the esophagus

Question 24

chambers / sacculations between the folds

Answer 24

haustra

Note: The mucosal folds of the colon (plicae semilunarisor semilunar folds) are thicker and further apart than in the small bowel.

Question 25

10 - red arrow

Answer 25

Distal ileum Some barium has passed through the ileocecal valve into the distal ileum

Question 26

9

Answer 26

Rectum Note: The rectum is fixed in place in midline

Question 27

8

Answer 27

Sigmoid colon Note: sigmoid colon is not fixed in place and may loop up into the abdomen.

Question 28

7

Answer 28

Descending colon Note: The descending colon is retroperitoneal and fixed in place laterally

Question 29

6

Answer 29

splenich flexure Note: The splenic flexure is the highest point for the colon and is near the left hemidiaphragm. It does not indicate a margin of the spleen

Question 30

5

Answer 30

Transverse colon Note: transverse colon is intraperitoneal, not fixed in place, may drop down to the pelvic bowl on upright films.

Question 31

4

Answer 31

Hepatic flexure Note: hepatic flexure is the highest point on the right side bowel and indicates a border of the liver

Question 32

3

Answer 32

Ascending colon Note: retroperitoneal, so fixed in place laterally

Question 33

2

Answer 33

Appendix Note: not usually seen on barium enemas

Question 34

1 - purple outline

Answer 34

Cecum Note: The cecum is the widest portion of the large bowel and lies over the right ilium. It can be somewhat mobile.