ABDOMINAL XRAYS REVIEW- summary BE SYSTEMATIC.
- 1. 7
- 3. 1- HISTORY AND CLINICAL EXAMINATION
- 4. 2- CHOOSE THE APPROPRIATE RADIOLOGICAL STUDY ACCORDING TO FULL DATA AND CLINICAL EXAMINATION. YOUR REQUEST SHOULD BE OPTIMALLY JUSTIFIED.
- 5. 3- REMEMBER THAT X RAY IS USING IONIZING RADIATION. IF THERE IS OTHER INVESTIGATIONS OR REFERAL TO SPECIALTY IS NEEDED, THEN DO NOT HESITATE. YOU ARE A GOOD DOCTOR IF YOU TRY AS POSSILE TO AVOID UNNESSESSARY RADAITION TO PATIENTS
- 7. 1- REVIEW PATIENT INFORMATION AND X RAY VIEWS 2- REVIEW X RAY QUALITY
- 8. 3- REVIEW STOMCAH , SMALL AND LARGE BOWEL GASES DISTRIBUTION. 4- IF DILATED , CHECK FOR AIR FLUID LEVELS IN STANDING VIEWS. 5- IF SMALL BOWEL DILATED, DO NOT FORGET TO LOOK FOR LARGE BOWEL. IF LARGE , THEN DO NOT FORGET TO LOOK FOR SMALL . 6- CHECK FOR INGUINAL AREAS ESEPCIALLY IF THERE IS OBSTRUCTION. 7- CHECK FOR BOWEL WALL THICKENING OR GASES.
- 9. 8- CHECK FOR EXTRA-LUMINAL GASES , BETTER IN CHEST X RAY STANDING VIEWS. IF NOT POSSIBLE LOOK FOR FURTHER VIEWS. 9- SEARCH FOR ANY LOCALIZED GAS COLLECTION ACCORDING TO YOUR CLINICAL FINDINGS. 10- LOOK FOR GASES IN LUNGS .
- 10. 11 - LOOK FOR OTHER SOFT TISSUE SHADOWS AS IF YOU REVIEW ABDOMINAL ANATOMY. 12- DO NOT FORGET TO LOOK FOR ANY BONE LESIONS. 13- CHECK FOR ANY MEDICAL DEVICES OR FOREIGN BODIES. 14- DO NOT LET THE STRIKING ABNORMALITY TO FORGET TO LOOK FOR OTHER AREAS. SOMETHING ELSE MAY HELP YOU ( e.g. inguinal hernia may be the cause for the bowel obstruction). .
- 11. 15 - IT IS BETTER TO REVIEW PREVIOUS RADIOLOGICAL EXAMINATIONS BEFORE REQUESTING NEW SCAN. 16- IMPORTANT TO COMPARE ANY SIMILAR SCAN . SOMETHING HIDDEN MAY HELP YOU IN CURRENT PATIENT STATE. Radiological Radiological Past History P R H
- 12. END OF PART 7 END OF LECTURES