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Index
Cover Series page Title page Copyright page Preface Acknowledgements Learning objectives checklist Part 1
About X-rays
What are X-rays? How are X-rays produced? How do X-rays make an image? How are X-ray images (radiographs) stored? Radiation hazards The Ionising Radiation (Medical Exposure) Regulations In women of reproductive age
Indications for an abdominal X-ray Abdominal X-ray views
AP Supine abdominal X-ray Other views
Radiograph quality
Inclusion Exposure
Normal anatomy on an abdominal X-ray
Right and left (Figure 7) Quadrants and regions (Figure 8) Abdominal viscera 1 (Figure 9) Abdominal viscera 2 (Figure 10) Skeletal structures (Figure 11) Pelvis (Figure 12) Lung bases (may be visualised at the top of the abdomen) (Figure 13) Bowel 1 (Figure 14) Bowel 2 (Figure 15)
Presenting an abdominal radiograph
Be systematic!
Part 2
Overview of the ABCDE of abdominal radiographs
A – Air in the wrong place B – Bowel C – Calcification D – Disability (bones and solid organs) E – Everything else
A
Pneumoperitoneum (gas in the peritoneal cavity) Pneumoretroperitoneum (gas in the retroperitoneal space) Pneumobilia (gas in the biliary tree) Portal venous gas (gas in the portal vein)
B
Dilated small bowel Dilated large bowel Volvulus Dilated stomach Hernia Bowel wall inflammation Faecal loading Faecal impaction
C
Gallstones in the gallbladder (cholelithiasis) Renal stones (urolithiasis) Bladder stones Nephrocalcinosis Pancreatic calcification Adrenal calcification Abdominal aortic aneurysm (AAA) calcification Fetus Calcified structures of little clinical significance
D
Pelvic fractures – 3 Polo rings test Sclerotic and lucent bone lesions Spine pathology Solid organ enlargement
E
Medical and surgical objects (iatrogenic) Foreign bodies Lung bases
Self-assessment questions Self-assessment answers Glossary Index End User License Agreement
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