Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Contrast Media > Upper GI Series > Flashcards

Upper GI Series Flashcards

(62 cards)

Start Studying
1
Q

Special radiographic examination of the distal esophagus, stomach and duodenum.

A

Upper GI Series

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 stomach body habitus

A

Eutonic or Normotonic Habitus
Hypotonic Habitus
Steer Horn Habitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A stomach habitus where the Incisura angularis and pylorus are about the same level.

A

Eutonic or Normotonic Habitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A stomach habitus where pylorus is higher than incisura angularis more than 1 cm.

A

Hypotonic Habitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A stomach habitus where Inisura angularis is higher than the pylorus more than 1 cm.

A

Steer Horn Habitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

2 Variations of Stomach

A

Infantile stomach
Cascade stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Stomach is transverse, duodenal
bulb is hidden from view.

A

Infantile Stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Upper posterior wall is pushed
forward creating an upper
portion that fills until sufficient
volume is present to spill into the
pyloric antrum.

A

Cascade Stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In an upright position, stomach moves downward for how many inches?

A

3-6 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Stomach moves downward 3-6 inches.

A

Upright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Stomach moves superiorly.

A

Supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Stomach moves slightly downward.

A

Prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

 Stomach moves forward.
 Pylorus closer to lumbar spine.

A

Right lateral recumbent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

 Stomach moves backward.
 Pylorus closer to abdominal wall.

A

Left lateral upright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Position that offers most displacement
of the stomach.

A

SUPINE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Position of the fundus of the stomach in a supine position

A

at the lowest part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In what position will barium fills the fundus part of the stomach

A

Supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In a supine position, air will fill what part of the stomach?

A

Pylorus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In a prone position, the fundus is in what position?

A

highest position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

In a prone position, barium fills what part of the stomach?

A

Pylorus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What position will air reside in the fundus part of the stomach?

A

Prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

 Air – Fundus
 Barium – Pylorus
 Air-Barium in a straight line

A

ERECT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Upper GI Series Patient Preparation

A

Light evening meal
NPO 8-9 hours
No smoking, chewing gum, antacid medications before examination
No breakfast
Report early in the xray department

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Two general procedures are
routinely used to examine the
stomach:

A
  1. single-contrast method
  2. double-contrast method.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Barium meal" normally reaches the ileocecal valve in ____ hours and the last portion in ___
2 to 3 hours 4 to 5 hours
26
The barium usually reaches the rectum within ___ hours.
24
27
In the single-contrast method, begin the examination with the patient in what position?
upright position
28
Fluoroscopy is performed with the patient in the _____ positions while the body is rotated and the table is angled so that all aspects of the esophagus, stomach, and duodenum are demonstrated.
upright and recumbent positions
29
If esophageal involvement is suspected, a study is usually made with a ___ suspension.
thick barium
30
The principal advantages of this method over the single-contrast method are that small lesions are less easily obscured and the mucosal lining of the stomach can be more clearly visualized.
Double CM for Upper GI
31
In a double CM, barium suspensions have weight/volume ratios of up to
250%
32
In the single-contrast method - what percentage is the weight/volume range
30-50%
33
PATIENT PREPARATION 1. Infant under 1 year
4 hours NPO
34
Patient preparation 2. Children older than 1 year
 6 hours NPO
35
BARIUM PREPARATION 1. Newborn – 1 year 2. 1-3 years old 3. 3 – 10 years old 4. Older than 10 years old
2 – 4 oz 4 to 6 oz 6-12 oz 12-16 oz
36
Stomach is high and transverse level of T9-T12. Pyloric portion level of T11-T12, at midline. Duodenal bulb is at the level of T11-T12 to right of midline.
HYPERSTHENIC
37
 Stomach T10-L2.  Pyloric portion level of L2 near midline.  Duodenal bulb L2 near midline.
STHENIC
38
 J-shaped stomach, low and vertical, T11-L4.  Pyloric portion level of L3-L4 to left of midline.  Duodenal bulb at the level of L3-L4.
HYPOSTHENIC, ASTHENIC
39
 Supine  MSP center to MLT  CR perpendicular to IR at level of 1. Hypersthenic– 2 inches above L1 2. Sthenic– level of L1 3. Asthenic – 2 inches below L1
AP Projection
40
 The stomach moves superiorly and to the left in this position.  Serves as a scout film  Demonstrate the fundus filled with barium  Best AP projection of the retrogastric portion of the duodenum and jejunum.
AP Projection
41
 Prone  MCP center to MLT  CR perpendicular to IR 1. Hypersthenic– 2 inches above L1 2. Sthenic– level of L1 3. Asthenic – 2 inches below L1
PA Recumbent Projection
42
 Demonstrates the body and pylorus filled with barium and air in the fundus.  Best demonstrates the pyloric canal and duodenal bub in hyposthenic or asthenic patients.
PA Recumbent
43
Demonstrates the size, shape and relative position of the stomach, but it does not give an adequate demonstration of the unfilled fundic portion ofthe organ.
PA erect
44
 Semi – prone  Rotate body 40-70 degrees  Hypersthenic patients require a greater degree of rotation than do sthenic and asthenic patients.  CR perpendicular to IR at level 1. Hypersthenic– 2 inches above L1 2. Sthenic– level of L1 3. Asthenic – 2 inches below L1
RAO Position, PA Oblique
45
 Semi-Supine  Rotate body 30-60 degrees with left posterior against IR  CR perpendicular to IR at level 1. Hypersthenic– 2 inches above L1 2. Sthenic– level of L1 3. Asthenic – 2 inches below L1
LPO Position, AP Oblique Projection
46
 Demonstrates the fundus portion of the stomach filled with barium.  Good position for double contrast of body, pylorus, and duodenal bulb.
LPO position, AP Oblique Projection
47
 CR perpendicular to 2.5 – cm anterior to MCP at level of 1. Hypersthenic– 2 inches above L1 2. Sthenic– level of L1 3. Asthenic – 2 inches below L1 Upright left lateral  Demonstration of the left retrogastric space.
Right Lateral Recumbent Position
48
 Demonstration of the right retrogastric space, duodenal loop, and duodenojejunal junction.  Demonstrates anterior and posterior aspects of the stomach, the pyloric canal, and the duodenal bulb  Best image of the pyloric canal, C-loop and duodenal bulb in patients with a hypersthenic habitus.  Demonstrates the pyloric-bulbar area  Stomach located higher in this position than in PA and RAO.
RIGHT LATERAL POSITION – LATERAL PROJECTION
49
 Prone  CR 35-45 degrees cephalad to 4 inches left to pylorus
GORDON METHOD
50
 Best demonstrates pylorus and duodenal bulb for hypersthenic body habitus.  Best demonstrates and open up high transverse stomach for hypersthenic patients.
Gordon Method
51
 Prone  CR 20-25 degrees cephalad
GUGLIANTINI MODIFICATION
52
Best demonstrates the stomach for infants
GUGLIANTINI MODIFICATION
53
 Semi - supine  LPO  Rotate body 45 degrees to IR with left posterior side against IR  CR perpendicular to level of pylorus
HAMPTON’S MODIFICATION
54
 Best modification to demonstrate a leaf like pattern of the pylorus and duodenal bulb.
HAMPTON’S MODIFICATION
55
 Supine  2 exposures 1. CR vertically directed 2. CR horizontally directed  Reference Point – level of pylorus
POPPEL’S METHOD
56
Best demonstrate a right angle view of the stomach, retrogastric space and pancreatic mass
POPPEL’S METHOD
57
-A method that requires the use of a semicylindrical radiolucent compression device . -Is a modification of the Trendelenburg position -The technique was developed for the purpose of applying greater intra- abdominal pressure than is provided by body angulation.
Wolf Method
58
 Helps fills fundus with barium on thin asthenic patient.
Partial Trendelenburg
59
 Demonstration of hiatal hernia.
Full Trendelenburg
60
 Requires the use of a 34 degree angle board over which the patient is flexed to place the trunk in a trendelenburg position.  The superior edge of the angle board is thickly padded to exert pressure on the lower abdomen and increase intra-abdominal pressure  CR perpendicular to xiphoid process  Exposure is made during Mueller Maneuver
SOMMER-FOEGELLE
61
Demonstration of hiatal hernia.
SOMMER-FOEGELLE
62
Best demonstrates pyloric canal and the duodenal bulb in profile for sthenic body habitus
RAO POSITION – PA OBLIQUE PROJECTION

Contrast Media (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions