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Esophagus and UGIEsophagus and UGI
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Patient PreparationPatient Preparation
Ask if patient has any metal objects inAsk if patient has any metal objects in
clothing ( zippers, buttons, snaps, etc.)clothing ( zippers, buttons, snaps, etc.)
Any jewelry that might obscure the certainAny jewelry that might obscure the certainareas of interest. ( navel rings)areas of interest. ( navel rings)
Present patient with a gown to changePresent patient with a gown to change
into.into.
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EsophagusEsophagus
One view RAOOne view RAO
14 x 17 Lengthwise14 x 17 Lengthwise
Average technique 110 @3Average technique 110 @3
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PositioningPositioning
Patient prone on the tablePatient prone on the tableRotate 35Rotate 35--40 with the right anterior40 with the right anterior
portion against table.portion against table.
Place
right a
rm down beside patient
Place
right a
rm down beside patient
Left arm flexed at elbow by patientsLeft arm flexed at elbow by patients
head to hold cuphead to hold cup
Flex left knee for
supportFlex left knee fo
rsuppo
rt
Shield patient at waist.Shield patient at waist.
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CR is perpendicular to T5-T6
About 3 inches below jugular
notchSID 40
Collimate about 6 inches wide.
Place marker in light field
Suspend breathing
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Film critiqueFilm critique
Esophagus should fall between spine andEsophagus should fall between spine and
heart.heart.
Esophagus should be filled with bariumEsophagus should be filled with bariumAdequate rotationAdequate rotation
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UGIUGI
3 views3 views
AP, 14 x 17AP, 14 x 17
LPO, 11 x 14LPO, 11 x 14Right Lateral 11 x 14Right Lateral 11 x 14
Page 480Page 480
125 @ 4125 @ 4--77
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APPositioningAPPositioning
Patient is supine on the table.Patient is supine on the table.
Align stomach to midline of table.Align stomach to midline of table.
Ensure body is not rotated.Ensure body is not rotated.Arms at sideArms at side
Place shield overwaistPlace shield overwaist
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CR perpendicular to L1Mid-way between lowerrib margin and Xiphoid tip
SID 40
Collimate to cassette and place marker in light field
Expiration
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Different centering positionsDifferent centering positions
for
all positionsfor
all positionsSthenic patient is at L1Sthenic patient is at L1
Hypersthenic is 1 inch above L1Hypersthenic is 1 inch above L1
Asthenic is 2 inches below L1 and nearerAsthenic is 2 inches below L1 and nearerto midto mid--lineline
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Film CritiqueFilm Critique
Entire stomach and duodenumEntire stomach and duodenum
Diaphragm and lower lung fieldsDiaphragm and lower lung fields
Fundus is filled with bariumFundus is filled with barium
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Positioning of patient forLPOPositioning of patient forLPO
Patient supine on tablePatient supine on table
Rotate 30Rotate 30--60 degrees from supine60 degrees from supinedepends on size of patient.depends on size of patient.
Flee knee forsupportFlee knee forsupport
Extend left arm from body and raise rightExtend left arm from body and raise rightarm across chest to hold to side of tablearm across chest to hold to side of table
Place bottom of cassette orLight at thePlace bottom of cassette orLight at thetop of the cresttop of the crest
Shield patient at waist.Shield patient at waist.
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Rotation forLPO UGIRotation forLPO UGI
Sthenic 45 degreesSthenic 45 degrees
Hypersthenic 60 degreesHypersthenic 60 degrees
Asthenic 30 degreesAsthenic 30 degrees
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CR midway between xiphoid tip and lowerrib marginmid-way between the midline and left lateral side.
SID 40
Collimate to cassette and place marker in light field
Expiration
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Seen on FilmSeen on Film
Stomach and duodenumStomach and duodenum
The duodenal bulbThe duodenal bulb
Barium filled fundusBarium filled fundus
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Positioning forRight lateralPositioning forRight lateral
Roll patient up on right sideRoll patient up on right side
Shoulders and hips in true lateralShoulders and hips in true lateral
positioningpositioningFlex knees and position arms up out ofFlex knees and position arms up out of
wayway
Midline is 1 to 1 posterio
rto midline ofMidline is 1 to 1 poste
rio
rto midline oftabletable
Place shield overwaistPlace shield overwaist
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CR L1 and 1-1 inches anteriorly
bottom of light at top of crest
SID 40
Collimate to cassette
Expiration
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Film CritiqueFilm Critique
Entire stomachEntire stomach
Retrogastric spaceRetrogastric space
No rotationNo rotation
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