The topic for the resident review session at ACVR this year was abdominal imaging. Randi Drees, from the University of Wisconsin, attended the sessions. Here are some key points she thought were worth noting.
The resident seminar held exactly what the title implied: a REVIEW on clinical approach to abdominal radiographs. The session gave a very well rounded overview on reading abdominal films, and that means “read the films” and “know your basics”, which you will also find in the classic papers or chapters of some of the speakers, who did a great job.
There was no reinvention of the wheel, however some random facts which I picked up on were:
- A splenic torsion will displace the spleen laterally to the colon & duodenum.
- A right renal mass will displace the duodenum medially.
- Ovarian masses will move intestines medially, not necessarily ventrally.
- Seth Wallacks book was heavily advertised as summary of the contrast procedures papers up to the date of publication.
- Remember to think about adhesions in GI studies which display static position and shape of organs.
- Pancreatitis in the dog seems to affect the right lobe and the body more commonly where as in the cat left lobe and body seem to be more commonly affected.
- Ethylene glycol intoxication may cause opacification of the kidney due to precipitated mineral.
- Remember the left lateral as recumbency of choice in procedures which may cause gas emboli, that way the gas will get trapped in the right atrium or cause pulmonary embolus as opposed to systemic embolus.
The sessions are available on the ACVR resident website for those who would like to see them. You’ll need to log in with your ACVR user name and password.
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