Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
PALET: A tool for making an engaging teaching event Kadom and Fasih Disclosures None “PALET” tool Preparation Attention Link Engagement Transfer Professor E.D. Ott Case presentation Abdominal Imaging fellows 45 y.o. F, family history colon cancer Acute abdominal pain during annual colonoscopy Plain film signs free air: 1. Air under diaphragm 2. Falciform ligament sign 3. Air both sides of bowel (Rigler sign) Pearls: • Best erect or l lat decub • CT more sensitive • Most common cause perforated ulcer • 1 in 400-500 colonoscopies, rectosigmoid site most common Mag view Washington DC Abdominal Imaging CEDP course Quiz case April 13th, 2013 History withheld What is going on? Supine Mag view Quiz 1-Use I respond software Q. Which segment of the bowel is most likely to have perforated and why? A. Rectosigmoid Quiz 2 Q. What are the two most common causes of pneumo-retroperitoneum? A. Perforated diverticulitis b. Perforated duodenal ulcer Quiz 3 What is the rate of perforation in: A: Optical Colonoscopy? 1 in 400-500 B: CT Colonography? 1 in 3000 Axial Coronal Coronal Supine Pearls • CT is the most sensitive modality to detect complications of endoscopy. • Rectosigmoid junction is the most frequent site of perforation. • Most cases are managed conservatively. Methods of Engagement • • • • • • Multiple choice Q and A, touch pads, show of hands Quiz, games, case Questions, answers, discussion – dialogue! Visuals (slides, videos, white board drawing) Handouts (tables, articles, resources etc) Demonstration, simulation, role play Thank you Audience #2 High school students Scenario • 45 year old woman visits the family doctor for annual health exam. • Anxiety regarding personal health. Parents had cancer of the large intestine. • Family doctor refers for a camera test of the large intestine called Colonoscopy(Colon=large bowel, Scope=direct visualization) Course of events • Patient develops severe belly pain during the camera examination. • An x –ray of the belly is requested and performed in the Radiology department. Normal structures ( Anatomy) A Normal X-RAY B Patient’s X-RAY X ray of the Belly Patient lying down Patient lying down: enlarged view Specialist doctor performing the camera test (Gastroenterologist) requests a CAT scan. CAT scanner (Computerized Axial Tomography) Image from a CAT scan optimized to show free air X ray of the Belly Take home points • Camera examination of the bowel is used to detect cancers in the large intestine. • Rarely, this may produce a hole in the intestinal wall resulting in air and other contents to leak out into the belly. • This is an emergency… Questions?