Abdomen

In this X-Ray you can see the faint outline of a very large AAA. It is important that you specifically look for this feature on an Abdominal X-Ray as this can be a potentially life threatening condition.  

This image is a contrast enhanced CT Scan of the abdomen. The contrast is sitting in the arterial system and displays the aorta. As we can see the aorta is grossly dilated and almost as large as the vertebral bodies showing that it is anueysmal. An aneurysm over 7cm wide has a 20% chance of rupture each year and if this happens the outcome is catastrophic  

This is a contrast enhanced CT image of the abdomen with the contrast in the arterial phase highlighting the aorta. We can see what appears to be two seperate lumens on this image and this is because this is an aortic dissection.  

Small bowel obstruction can be identified by the dilated loops of centrally placed bowel with the venae commitantes (circular bands of muscle) that span the entire width of the bowel as opposed to tenae coli in the large bowel which only span part of it.  

This image shows dilated loops of large bowel. It can be identified as large bowel because of the tenae coli which form bands that never cross the whole width of the bowel unlike the venae commitantes of small bowel  

This image shows the cardinal sign of a perforated abdominal viscus. There is air under the diaphragm indicating air within the peritoneal cavity which can occur from a perforated abdominal viscus, following a laparoscopic abdominal procedure (where air is pumped into the peritoneal cavity to improve the views) and after more obscure events such as vigorous waterskiing in a female. When this appearance is seen it should be treated as a surgical emergency until proved otherwise.  

Mr Jon Lund talks to Liz Evans a specialist stoma nurse about the different types of abdominal stomas. More content can be found at www.surgeryandmedicine.com  

A PDF Booklet that covers the underlying anatomy, embryology and basic overviews related to groin swellings, particularly inguinal and femoral hernias.  

Explanations of procedures and signs associated with various OSCE style stations relevant to first and second year MBBS, including pictures of relevant pathology and illustrative diagrams. Includes - resuscitatio - peripheral pulse - blood pressur - cardiovascular exam (including relevant aspects of the general examination - ECG lead placemen - Respiratory exam (including relevant aspects of the general examination - peak flo - vitalograp - abdominal examination (including relevant aspects of the general examination - PNS (motor function - Reflexes alon - cranial nerve exa - Thyroid exa - cervical and lymph node (diagrams only - Shoulder joint exa - Hip joint exam  

I made this lecture during my elective this year as I was teaching at the Graduate Entry medical school. As i haad gone through the same process I knew that we didn't have much teaching in terms of a general introduction to radiology, especially abdominal radiology. Therefore with the help of my supervisor I delivered this lecture to a group of 50 students and recieved some very good feedback. The lecture also had a handout that students could fill in as we went along.  

Handout to supplement the lecture  

A slideshow on The Abdominal Wall - Muscles of the Trunk  

This poster shows one of a series of drawings which were created using Adobe Illustrator CS4 and Adobe Photoshop CS4. A series of Coronal and Axial CT sections from a 27 year old male, who consented to their use for education (including specific consent for the purposes of this competition), was used as a template for the drawings which are then displayed alongside the original grey-scale image. The aim of the drawings is to help with interpretation of CT imaging by placing them alongside a coloured illustration of the original. Sectional images are a very valuable tool for learning the 3D relationships of anatomy.  

Jonny Gamble explains how to perform an examination of the abdomen.  

Guide to doing a clinical exam on the abdomen by the clinical skills tutors at the University of Liverpool  

Basic landmarks of the abdomen by the clinical skills tutors at the University of Liverpool  

This is the psoas line seen on an abdominal x-ray. Original image is from http://upload.wikimedia.org/wikipedia/commons/d/d0/Medical_X-Ray_imaging_ALP02_nevit.jpg  

Radiology Teaching 19/11/12 – 23/11/12  

A case highlighting the typical features of acute appendicitis on abdominal CT.