Abdominal X-ray
The basic principles of the abdominal X-ray examination.
Table of contents
Checklist
The following points may be used as a guide to assess an AXR.
- Technique: is this a standing or supine image?
- Are the psoas muscle contours visible? (If not, caution: pathology)
- Try to trace the liver/kidney/spleen contours.
- Are there calcifications or radio-opaque structures?
- Determine the position of the stomach, small intestinal loops and colonic loops. Is the distribution of intestinal gas normal? Dilated intestinal loops?
- Evidence of free air?
- Examine the skeletal system. Are there fractures, cortex interruptions, ossal lesions?
- Changes versus previous examinations?
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Literature: sources and author
Text & Illustrations
drs. A van der Plas (MSK radiologist Maastricht UMC+)
Sources:
- P.C. Nevitt String of pearls sign. Radiology 2000.
- Khurana et al: Bowel Obstruction Revealed by Multidetector CT. AJR 2002.
- A.C. Silva et al: Small Bowel Obstruction: What to Look For. RadioGraphics 2009.
- Dahnert. Radiology Review Manual 7th Edition.
- N.C. Dalrymple et al; Problem Solving in abdominal imaging. 2009
- D. Feldman. The Coffee Bean Sign. Radiology 2000
- J.Q. Ly; The Rigler Sign. Radiology 2003
- Emilio Quaia: Diagnostic Imaging; Radiological Imaging of the kidney. 2011.
- Fred A. Mettler, Jr; Essentials of Radiology 3rd edition (2005)
24/04/2014
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