Abdomen X-rays
Welcome to the Abdomen x-ray!
Abdomen X-rays are useful for finding bowel obstructions. When it comes to abdomen x-rays, you’re not just taking a picture—you’re capturing a story! Think of the x-ray as the detective tool that reveals the clues hidden in the abdomen. But how do you ensure your “story” is clear, crisp, and accurate? Let’s break it down.
Anatomy Spotlight: What’s in the Frame?
Before we even touch the x-ray machine, let’s play a quick game. Imagine you’re about to image an abdomen x-ray—what organs are you aiming to capture?
If you said the liver, stomach, intestines, kidneys, and bladder, you’re on the right track! But there’s more to the story. The diaphragm, spleen, and psoas muscles are also frequent stars of the show. And don’t forget those abdominal vessels—they love photobombing your images.
Why is this important? Knowing the anatomy helps you position the patient accurately. Plus, it’s much easier to spot anomalies when you know what “normal” should look like.
Positioning: “Supine” is Fine, but There’s More to Explore
Here comes the fun part: positioning!
- Abdomen Supine (AP):
Lie flat on your back. No cheating by raising your knees! This position is the bread-and-butter view that captures the full abdominal cavity. Make sure to include the diaphragm and the pubic symphysis!- Quick tip: Align the central ray at the level of the iliac crest. Got a taller patient? A second image might be needed to ensure everything is included.
- Abdomen Erect (AP):
Stand tall! This position is perfect for checking air-fluid levels. (Gas rises, fluid sinks—it’s like a science experiment in your abdomen!) Remember to have the patient stand still for at least 5 minutes to let those air-fluid levels settle.- Pro tip: Center the ray slightly higher, at about 2 inches above the iliac crest, to include the diaphragm. You wouldn’t want to miss any gas under there, right?
- Left Lateral Decubitus:
Ever thought lying on your left side could reveal so much? This position is great for patients who can’t stand. Bonus points: it’s excellent for detecting free air.- Remember: Place a horizontal beam to visualize air-fluid separation. No shortcuts!
Checklist for Positioning:
Before you press that exposure button, ask yourself:
- Is the patient aligned with the bucky?
- Have I removed all artifacts? (That belt buckle might as well be screaming, “Look at me!”)
- Did I include all the anatomy required? (Don’t leave your diaphragm or symphysis out of the party.)
If you want another explanation, have a look at the video below:
If you have any questions, message us and we will be happy to help out.