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MINISTRY OF EDUCATION AND SCIENCE OF THE RUSSIAN
FEDERATION
FSAEI IN "Crimean
Federal University named after VERNADSKY"
Medical Academy named after S.I .Georgievsky
Beam diagnostics and radiotherapy
chair
Methodical
by independent extracurricular work of students
APPROVED:
Head. Of the
Professor
Department
Kradinov AI
(Name, title)
(signature)
"
"
"
The main educational program:
Course:
Medicine
III
View classroom:
Subject№8:
" ___________ '2016
" ___________ '20
" ___________ '20
practical
Radiological diagnosis of diseases of the stomach, duodenum, small intestine
and colon.
Topics Curator:
Ass. Savin AA
(Name, position, signature, date)
Discussed at the meeting of the department "29" _ January 2016, Protocol №_ 4
Discussed at the meeting of the department " " ___________201 , Protocol № ____
Discussed at the meeting of the department " " ___________201 , Protocol № ____
Simferopol
1. Relevance of the topic
Digestive system - a collection of bodies connected to the alimentary canal. They provide
and promote digestion. The length of the digestive tract - from 8 to 12 m.
Among ray methods of investigation of the alimentary canal organs preference is given to
X-ray. Study to begin receiving barium suspension to determine the presence and distribution of
gas in the gut, eliminate calcification, the presence of foreign bodies, free gas in the abdominal
cavity. The second stage is an artificial cavity opacification of the digestive canal. The third
principle - the desire to thoroughly examine the morphology of the digestive tube, ie, his "fine
relief." The fourth methodological rule - an assessment of the motor-evacuation function of
organs. Knowledge of normal radiological anatomy, semiotics of diseases of the alimentary
canal, the ability to choose the right one or the other method of research is a must in modern
medicine. Knowledge of radiographic signs of diseases of the stomach, 12 duodenum, small
intestine and colon is a must for every doctor.
2. Purpose of training
2.1. Common goal:
1.
2.
3.
4.
5.
6.
7.
To study modern methods of radial investigation of the digestive system.
Explore normal radial anatomy of the abdominal cavity.
Choose a method of radiation studies at various pathologies of the abdominal cavity.
Examine the overall roentgenosemiotic various pathological conditions of the
abdominal cavity.
Create algorithm research (including radial) at different gastric pathology, 12
duodenum, small intestine and colon.
To evaluate the results of different methods of beam study of the digestive system and
abdomen.
And zuchit X-ray signs of gastric disease 12 duodenal ulcer, small intestine and colon.
2.2. Private goal of independent work of students (IWS):
2.2.1. The student should know:
1.
2.
3.
4.
Methods of radial investigation of the digestive system.
Normal radial anatomy of the digestive system.
A private roentgenosemiotic and other ray signs of diseases of the digestive system.
The possibilities of different methods of radiation diagnosis in detecting pathology of the
stomach organs, 12 duodenum, small intestine and colon.
2.2.2. The student should be able to:
1.
2.
3.
4.
5.
6.
Given the history and clinical data to determine indications and contraindications to
radiation survey of patients.
Check the direction of the patient in the office (office) beam diagnostics for analysis of
various organs of the digestive system.
Determine the method of radiation research on medical imaging (radiography,
fistulography, CT, MRI, ultrasound, etc.).
Find on submitted medical images characteristic radiation symptoms and given them to
do an x-ray report.
To be able to use the algorithm of radial investigation of patients with suspected disorders
of the digestive system.
Make a description and protocol of radiation research and draw conclusions on the results
of the information received.
3. Study the study material on the recommended literature (see. P The items 6).
4. Issues to be considered when Independent work of students:
1.
2.
3.
4.
5.
6.
Radiographic signs polyps stomach.
Radiographic signs of gastric ulcer.
Radiographic signs of ulcer complications.
Radiographic signs of a malignant stomach tumor.
Radiographic signs of drunk ro stenosis.
Radiographic signs of malignant colon tumors.
5. Ancillary ing materials for self study
5.1. Spreadsheets / slides:
1.
2.
3.
4.
Gastric ulcer.
Stomach cancer.
Schematic representation of the exo and endophytic and decaying crabs.
The picture of acute intestinal obstruction
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
eleven.
12.
13.
The ulcer on the lesser curvature of the gastric body
Ulcer duodenal bulb (series sighting shots)
Ulcer duodenal bulb - a symptom of "relief niche"
Exophytic stomach cancer
Endophytic stomach cancer
Multiple gastric polyps
Regional defect filling at low gastric cancer on the lesser curvature of the gastric body
Radiographs of the patient with acute intestinal obstruction ( "bowl" Kloubera)
Small bowel obstruction
Bowel obstruction
Colon Diverticulosis
Villous adenoma in the transverse colon
Colon Cancer
5.2. Sets the X-ray:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
eleven.
12.
13.
14.
Ulcers of various parts of the stomach and duodenum (acute and chronic).
Penetrating ulcer.
Chronic ulcer, scar deformity of the stomach in the form of "hourglass".
Scar deformation of duodenal bulb ulcer etiology.
Compensated and decompensated stenosis of the output of the stomach.
Panoramic X-ray of the abdominal cavity with ulcer perforation (the presence of free
gas in the abdominal cavity)
Stomach cancer (endo-, exophytic and disintegrating form)
Polyps of the stomach.
Survey abdominal radiograph in acute intestinal obstruction (thin-and colonic
Colon with a tight filling
Normal colon mucosal relief.
Double contrast colon.
Polyposis of the sigmoid colon.
Endo-, exophytic and disintegrating form of colon cancer
6. Information sources
1. Kradinov A.I., Opryshko V.V. Lecture. Radio diagnostics and radiation therapy 2013.
2. F Global TextBook of Radiology. Edited by Holger Pettersson MD Professor of Radiology
University Hospital Lund, Sweden Educational and Scientific Director The NICER Institute. I –
Techniques CNS Musculoskeletal system Pediatrics Breast. The NICER Centennial Book 1995.
3. Diagnostic Radiology. Edited by N.Pilipenko. Kharkiv, Ukraiine, 2008.
4. Squire’s Fundamentals of Radiology. Fifth Edition. Robert A.Novelline, M.D. Professor of
Radiology, Harvard Medical School. Director, Emergency Radiology, and Director,
Undergraduate Radiology Education, Massachusetts General Hospital, Boston, Massachusetts.
Harvard University Press. Cambridge, Massachusetts, and London, England, 2009.
5. The NICER Centennial Book 1995. F Global TextBook of Radiology. Edited by Holger
Pettersson MD Professor of Radiology University Hospital Lund, Sweden Educational and
Scientific Director The NICER Institute. II – Chest Abdomen Urogenital system Tropical
disease.
from.
Resources information and telecommunication network "Internet":
site Content
Methods of beam diagnostics
Radiation human anatomy
(Book)
medical consultant
student Consultant
Central Scientific Library of
Medicine
Federal electronic medical
library
Its Internet address.
http://www.slideshare.net/medumed/ss-8802053
http://www.twirpx.com/file/300584/
www.rosmedlib.ru rnet
www.studmedlib.ru
http://www.scsml.rssi.ru/
http://193.232.7.109/feml