img fluoroscopy
DESCRIPTION
Fluoroscopy, GITTRANSCRIPT
FluoroscopyRadiology
Fluoroscopy● medical imaging that shows a continuous X-ray image
● X ray cine (x ray movie)
● image is transmitted to a monitor so the movement of a body part or of an
instrument or contrast agent (“dye”) through the body can be seen in detail.
Contrast agent
Barium sulfate suspension (Ba) - whiteGastrograffin (I) - whiteUltravist (I) - white
Air - black
Barium sulfate
Barium swallow
Barium swallow
A. Aortic archB. Left bronchusC. Left atrium
1.
History of stroke.Had frequent pneumonia.Had difficulty to swallow.
● Calcified bronchus● Aspirated barium● Esophageal perforation● Lung Ca
2
DysphagiaChest painRegurgitation
● Esophageal Ca● Esophageal reflux● Achalasia● Hiatus hernia
Achalasia
Answer
3
Had PTB.℅ cough, sob after food.● Esophageal ca● Achalasia● Esophageal perforation● Broncho esophageal fistula
● Esophageal ca● Achalasia● Esophageal perforation● Broncho esophageal fistula
Broncho oesophageal fistula
Answer
4
dysphagiaLOW, LOA● Esophageal Ca● Esophageal fibrosis / stricture● Vascular ring● Esophageal fistula
Oesophageal Ca
Answer
Barium mealIn a barium meal test, x ray images are taken of the stomach and the beginning of duodenum
1
epigastric painLOWLOA
● Gastric ulcer● Gastric perforation● Gastric Ca● Bezoar
Gastric carcinoma
Answer
2
Epigastric pain● Gastric ulcer● Gastric perforation● Gastric Ca● Bezoar
Peptic ulcer
Answer
3● Gastric ulcer● Gastric perforation● Gastric Ca● Bezoar
Small bowel follow through
1
diarrhea, haematocheziaabdominal pain● Ileal perforation ● Crohn’s● Intestinal obstruction● Malrotation
Crohn’s disease
Answer
2
Abd discomfortLOW
Intestinal ascariasis
Answer
3
Child with billous vomiting● Ileal perforation ● Crohn’s● Intestinal
obstruction● Malrotation
Malrotation with midgut volvulus
Answer
Barium enema
1Altered bowel habitAnemia● Ca colon● Bowel perforation● Ulcerative colitis● Diverticulosis
Ca colon
Answer
2
Recurrent abd pain● Ca colon● Bowel perforation● Ulcerative colitis● Diverticulosis
Diverticulosis
Answer
3
Abd painChronic diarrhoea● Ca colon● Bowel perforation● Ulcerative colitis● Diverticulosis
Ulcerative colitis
Answer
4chronic constipationabd distension● Bowel perforation● Ulcerative colitis● Diverticulosis● Hirschsprung’s ds
Hirschsprung’s disease
Answer