31 Questions
What radiographic sign is associated with a sliding hiatal hernia?
Schatzki's ring
Which x-ray position is best for visualizing an ulcer in the duodenal bulb without superimposition?
UGI- LPO
What is the most common location for a peptic ulcer to be found?
Duodenal bulb
What does HPS stand for and how does it appear under ultrasound?
Hypertrophic pyloric stenosis, caterpillar appearance
What is the recommended method for repairing a hiatal hernia?
Laparoscopic hiatus repair: wrapping the fundus around the lower esophagus and suturing to keep in place and avoid acid reflux
Where is stomach cancer most commonly found?
Antrum and pylorus
What radiographic sign is associated with rolling hiatal hernia?
Portion of the stomach rolls up alongside esophagus
What causes acquired hypertrophic pyloric stenosis (HPS)?
Extrinsic pressure and healing ulcer tissue formation
What demonstrates an obstruction that requires surgery or endoscopy?
Single or double points of obstruction
What does PUD stand for?
Peptic Ulcer Disease
Which radiographic appearance is characteristic of Crohn’s disease?
Cobblestone
What condition primarily impacts the rectosigmoid region of the colon?
Ulcerative colitis
What is the study of biliary ducts called?
Choleography
What involves the mucosa and submucosa and multiple bowel wall layers?
Crohn’s disease
What occurs commonly near the ileocecal valve, and gradually leads to obstruction?
Intussusception
What cancer is found in the rectosigmoid region most commonly?
Colon cancer
Where is a T-tube inserted?
Common bile duct
What does a T-tube do?
Carries bile from gallbladder to small intestine
What is induced during laparoscopic surgery for improved visibility and access to abdominal organs?
Pneumoperitoneum
What involves the terminal ileum (end portion of small intestine)?
Crohn's disease
Excess bilirubin in the body is known as:
Jaundice
What radiographic sign is associated with a sliding hiatal hernia?
Ringlike construction at the distal esophagus
What is the recommended method for repairing a hiatal hernia?
Laparoscopic hiatus repair
Where is stomach cancer most commonly found?
Antrum and pylorus
What does HPS stand for and how does it appear under ultrasound?
Hypertrophy and hyperplasia of smooth muscle, caterpillar appearance
What is the study of gallbladder called?
Cholecystography
What is the non-invasive procedure that is used to examine the colon?
Virtual colonoscopy
What involves the terminal ileum (end portion of small intestine)?
Crohn's disease
What cancer is found in the rectosigmoid region most commonly?
Colon cancer
What does a T-tube do?
It carries bile from the liver and gallbladder to the small intestine.
What radiographic sign is associated with rolling hiatal hernia?
Bird's beak sign
Study Notes
Hiatal Hernia
- A sliding hiatal hernia is associated with the "gastric bubble" radiographic sign.
- The recommended method for repairing a hiatal hernia is laparoscopic surgery.
Peptic Ulcer
- The most common location for a peptic ulcer to be found is the duodenal bulb.
- A ulcer in the duodenal bulb without superimposition can be visualized on an RAO (right anterior oblique) x-ray position.
- PUD stands for Peptic Ulcer Disease.
Hypertrophic Pyloric Stenosis (HPS)
- HPS stands for Hypertrophic Pyloric Stenosis.
- Under ultrasound, HPS appears as a thickened pyloric muscle.
- Acquired HPS is caused by peptic ulcer disease.
Intestinal Obstruction
- A "string of beads" sign demonstrates an obstruction that requires surgery or endoscopy.
Crohn's Disease
- The characteristic radiographic appearance of Crohn's disease is a "cobblestone" pattern.
Colonic Disease
- The condition that primarily impacts the rectosigmoid region of the colon is diverticulitis.
- Cancer is found in the rectosigmoid region most commonly.
Biliary System
- The study of biliary ducts is called cholangiography.
- The study of gallbladder is called cholecystography.
- A T-tube is inserted into the bile duct and helps to drain bile.
Surgical Procedures
- During laparoscopic surgery, pneumoperitoneum is induced for improved visibility and access to abdominal organs.
- Crohn's disease often involves the terminal ileum (end portion of small intestine).
Miscellaneous
- Excess bilirubin in the body is known as jaundice.
- A non-invasive procedure that is used to examine the colon is virtual colonoscopy.
Test your knowledge of hiatal hernia radiography with this quiz. Identify different types of hiatal hernias and their radiographic signs.
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