Rx abdomen
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Transcript of Rx abdomen
![Page 1: Rx abdomen](https://reader033.fdocument.pub/reader033/viewer/2022052116/559c8f661a28ab9c458b4658/html5/thumbnails/1.jpg)
RADIOGRAFÍA SIMPLE DE ABDOMEN
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HIPOCONDRIO DERECHO
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EPIGASTRIO
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HIPOCONDRIO IZQUIERDO
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FLANCO DERECHO
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REGIÓN PERIUMBILICAL
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FLANCO IZQUIERDO
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• FOSA ILIACA DERECHA: ciego, apéndice, extremo inferior del íleon, ovario, desembocadura del uréter, canal inguinal
• HIPOGASTRIO: útero, vejiga, colon sigmoides
• FOSA ILIACA IZQUIERDA: colon sigmoides, ovario, desembocadura del uréter, canal inguinal
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DENSIDADES
• Densidad de calcio
• Densidad de agua
• Densidad de grasa
• Densidad de aire
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INDICACIONES • Abdomen agudo
• Obstrucción intestinal
• Perforación de víscera hueca
• Cólico renal
• Peritonitis
• Trauma Abdominal
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PROYECCIONES
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PROYECCIONES• Decúbito lateral con rayos horizontales ( izquierda ) :
perforacion, neumoperitoneo chiquito se puede ver entre hígado y pared
• Oblicuas derecha/izquierda: calcificaciones en cabeza de páncreas, calcificaciones cola de páncreas y biliares
• Laterales derecha/izquierda: calc. Cuerpo de páncreas y de la aorta
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• Foco-film: 1 metro
• Chasis: 35x43 longitudinal
• Respiracion detenida al final de una Espiración profunda
• Proteger gónadas (regla de 10)
• No urgente: preparar tracto intestinal
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• Apofisis xifoides --> sinfisis púbica
Línea media del tronco , en el punto
equidistante de ambas crestas
5 cm arriba de ambas crestas
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¿ESTA BIEN TOMADA?
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RX ABDOMEN
• 1. Costilla #11
• 2 cuerpo vertebral T-12
• 3. Gas en estomago
• 4. Gas en colon
• 5. Gas en colon transverso
• 6. Gas en sigmoides
• 7. Sacro
• 8. Articulación sacro iliaca
• 9. Cabeza femoral
• 10. Ciego
• 11. Cresta iliaca
• 12. Gas en colon
• 13.. Psoas
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LÍNEAS MUSCULARES
• 1. Psoas
• 2. Pelvis menor
• 3. Pared lateral
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LÍNEAS VISCERALES
• 1. Hígado
• 2. Esplenica
• 3. Renales
• 4. Vejiga
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ESTOMAGO
• Volumen normal: 45 ml
• Solo es visible si contiene aire
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HÍGADO
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ESPACIO DE MORRISON
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BASES PULMONARES
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BAZO
![Page 34: Rx abdomen](https://reader033.fdocument.pub/reader033/viewer/2022052116/559c8f661a28ab9c458b4658/html5/thumbnails/34.jpg)
PÁNCREAS
• L1-L2
• No es visible en RX simple de abdomen
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RIÑÓN
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Psoas
• José Alexis Cortés Martinez
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Vejiga
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Huesos
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La lagrima blanca centralEs el hueso compacto que recubre
La apofisis espinosa.También pueden apreciarse las
Apofisis articulares superior e inferior
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Histerosalpingografia
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Miguel Jasso Reyes
4030
Calcificaciones y cuerpos extraños en abdomen
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CalcificacionesCalcificaciones
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Morfología
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• Imagen de dos líneas paralelas o mínimamente convergentes “en carril o líneas de tranvía”
• Continuas o discontinuas (pared este total o parcialmente calcificada)
En la pared de un
conducto
Conductos deferentescalcificados
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• Aspecto en anillo o aro cálcico• Calcificación de aspecto quístico puede corresponder a la pared de una
víscera hueca (aneurisma aórtico)• En el riñón rara vez se calcifican quistes simples, por lo que en
calcificaciones parenquimatosas (excluyendo la litiasis) hay que plantearse malignidad
En las paredes de un quiste
• Bordes irregulares y mal definidos• Tumores mucinosos de ovario, páncreas y tubo digestivo (calcificaciones “psamomatosas” parecida a minúsculos granos de arena)
• Formación de hueso en el seno de calcificaciones abdominales distróficas (en tumores retroperitoneales mesenquimatosos)
Calcificación en masa sólida
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Movilidad
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Crecimiento
Interés diagnóstico…
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Cuerpos extrañosCuerpos extraños
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Bibliografía
• Fundamentos de radiología Robert A. Novelline. Masson
• http://mededconnect.com/samplechapters/9780443102578/9780443102578.pdf
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BIBLIOGRAFÍA
• http://www.eradiography.net/articles/axr%20easy%201.pdf
• http://radiologymasterclass.co.uk/tutorials/abdo/abdomen_x-ray/anatomy_introduction.html
• http://www.medicaltextbooksrevealed.com/files/11173-53.pdf