Abdomen
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AP (Supine)
(KUB)
IR Size: 14x17 (LW S-M pt., 2 CW overlapping for Lg pt.)
SID: 40""
Page #'s: 2:91,220
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Positioning:
pt supine:
sponge under: knees (to reduce lordosis)
(Similar to AP upright except pt position & CR entrance)
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CR Entrance & Angle:
_|_ to MSP @ level of iliac crests (include pubic symphysis)
Collimation:
Best to Determine:
Shows-Liver, Spleen, Kidneys, Intra-abdominal calcifications & Tumor masses)
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Eval Criteria:
No rotation-spinous processes centered-symmetric ala of the ilia
Soft tissue grays showing psoas muscles, lower border of liver, kidneys, Lumbar transverse processes
Pubic symphysis to upper abdomen (include kidneys)
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AP (Upright)
IR Size: 14x17 (LW S-M pt., 2 CW overlapping for Lg pt.)
SID: 40""
Page #'s: 2:93,222
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Positioning:
pt upright:
(Allow enough time for: air to rise)
(Similar to AP supine except pt position & CR entrance)
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CR Entrance & Angle:
_|_ to MSP @ 2"" above iliac crests (include diaphragm)
Collimation:
Best to Determine:
Shows-Liver, Spleen, Kidneys, Intra-abdominal calcifications & Tumor masses)
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Eval Criteria:
No rotation-spinous processes centered-symmetric ala of the ilia
Soft tissue grays showing psoas muscles, lower border of liver, kidneys, Lumbar transverse processes
Pubic symphysis to upper abdomen (include kidneys)
No motion of diaphragm
Mark image as Upright
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Lat decubitus
IR Size: 14x17 (bucky or grid holder)
SID: 40""
Page #'s: 2:93,224
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Positioning:
Left Lateral decubitus when: free air is expected
Arms: above level of diaphragm
flex: knees for stability
pt must lay on side for: several minutes (5) for air to rise
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CR Entrance & Angle:
_|_ and horizontal to level of iliac crests or 2"" above crests including diaphragm if free air is suspected
Collimation:
Best to Determine:
Air / fluid levels when pt is unable to stand
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Eval Criteria:
No rotation of pt
Both sides of abdomen
No motion of diaphragm
Side up free air, down fluid
Mark image with side up and decub or up arrow…
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Lateral
IR Size: 14x17
SID: 40""
Page #'s: 2:95,226
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Positioning:
R or L lateral recumbent:
Hands: under head
flex: knees for stability
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CR Entrance & Angle:
_|_ MCP @ iliac crests or 2"" above crests to include diaphragm
Collimation:
Best to Determine:
Shows prevertebral space demonstrating abnormal aorta intraabdominal calcifications or tumor masses
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Eval Criteria:
Abdomen w/ moderate grays
NR by SI ilia & open intervertebral foramina
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