I always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.
I always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.
I always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.
I always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.
I always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.
We never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.
clinicalThe technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.↗
▶Ep 10 · 16:34
clinicalThe technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.↗
▶Ep 10 · 16:42
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 10 · 16:42
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 10 · 16:42
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 10 · 16:42
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 10 · 17:04
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline.↗
▶Ep 10 · 17:04
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline.↗
▶Ep 10 · 17:16
clinicalInject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 10 · 17:16
clinicalInject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 10 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 10 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 10 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 10 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 10 · 18:10
clinicalObtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.↗
▶Ep 10 · 18:10
clinicalObtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.↗
▶Ep 10 · 18:47
clinicalThe primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.↗
▶Ep 10 · 18:47
clinicalThe primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.↗
▶Ep 10 · 19:03
clinicalInversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.↗
▶Ep 10 · 19:03
clinicalInversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.↗
▶Ep 10 · 19:18
clinicalThe aganglionic segment will appear spastic, which is why contrast should not be given in large amounts or too fast, or the spasticity will be missed.↗
▶Ep 10 · 19:18
clinicalThe aganglionic segment will appear spastic, which is why contrast should not be given in large amounts or too fast, or the spasticity will be missed.↗
▶Ep 10 · 20:08
clinicalAlways counsel families about good hydration after the study and show them the contrast material so they know what to expect when the child evacuates it.↗
▶Ep 10 · 20:08
clinicalAlways counsel families about good hydration after the study and show them the contrast material so they know what to expect when the child evacuates it.↗
▶Ep 10 · 20:47
clinicalThe main technical points are: never use a Foley in the rectum, inject contrast very slowly and gently under continuous fluoroscopy, and look for the diagnostic signs.↗
▶Ep 10 · 20:47
clinicalThe main technical points are: never use a Foley in the rectum, inject contrast very slowly and gently under continuous fluoroscopy, and look for the diagnostic signs.↗
Radiology and Image Diagnosis of Hirschsprung Disease
▶Ep 18 · 16:34
clinicalDr. Ocelami's technique: insert rectal tube only 2-3 centimeters into the rectum, never use a Foley catheter inside the rectum, hold the buttocks tight or ask older child to hold contrast.↗
▶Ep 18 · 16:34
clinicalDr. Ocelami's technique: insert rectal tube only 2-3 centimeters into the rectum, never use a Foley catheter inside the rectum, hold the buttocks tight or ask older child to hold contrast.↗
▶Ep 18 · 16:42
quotewe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 18 · 16:42
quotewe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 18 · 17:04
clinicalIn the neonatal period use water soluble contrast diluted 50% contrast and 50% saline, infuse very gently and very slowly with a syringe (not gravity) under fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 18 · 17:04
clinicalIn the neonatal period use water soluble contrast diluted 50% contrast and 50% saline, infuse very gently and very slowly with a syringe (not gravity) under fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 18 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 18 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 18 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment is normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 18 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment is normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 18 · 18:10
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position; remove the tube to get a good look at the rectum without the tube.↗
▶Ep 18 · 18:10
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position; remove the tube to get a good look at the rectum without the tube.↗
▶Ep 18 · 18:50
quoteas far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.↗
▶Ep 18 · 18:50
quoteas far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.↗
▶Ep 18 · 18:50
clinicalThe main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.↗
▶Ep 18 · 18:50
clinicalThe main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.↗
▶Ep 18 · 19:05
clinicalThe inversion of the rectal sigmoid index is very helpful and valued as a sign.↗
▶Ep 18 · 19:05
clinicalThe inversion of the rectal sigmoid index is very helpful and valued as a sign.↗
▶Ep 18 · 19:18
clinicalThe affected or aganglionic segment will be spastic; if you give contrast with too much volume or too fast you will miss the spasticity of the affected segment.↗
▶Ep 18 · 19:18
quoteif you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment↗
▶Ep 18 · 19:18
quoteif you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment↗
▶Ep 18 · 19:18
clinicalThe affected or aganglionic segment will be spastic; if you give contrast with too much volume or too fast you will miss the spasticity of the affected segment.↗
▶Ep 18 · 19:37
clinicalIrregularity of the bowel and enterocolitis are good signs to look for on enema.↗
▶Ep 18 · 19:37
clinicalIrregularity of the bowel and enterocolitis are good signs to look for on enema.↗
▶Ep 18 · 20:02
clinicalAlways talk to the family after the study; ask for good hydration after using barium or water soluble contrast to help the child evacuate and avoid dehydration.↗
▶Ep 18 · 20:02
clinicalAlways talk to the family after the study; ask for good hydration after using barium or water soluble contrast to help the child evacuate and avoid dehydration.↗
▶Ep 18 · 20:16
clinicalAlways show the family the contrast used so when white stuff comes out they know what is going on.↗
▶Ep 18 · 20:16
quoteI always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.↗
▶Ep 18 · 20:16
quoteI always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.↗
▶Ep 18 · 20:16
clinicalAlways show the family the contrast used so when white stuff comes out they know what is going on.↗
▶Ep 18 · 20:47
clinicalThe main points of technique: never use Foley inside the rectum, inject contrast very slowly and gently using fluoroscopy all the time, look for the signs, and talk to the family before and after the study.↗
▶Ep 18 · 20:47
clinicalThe main points of technique: never use Foley inside the rectum, inject contrast very slowly and gently using fluoroscopy all the time, look for the signs, and talk to the family before and after the study.↗
Hirschsprung Disease: Radiology Aspect
▶Ep 42 · 15:39
quotethe technique is quite simple actually, but uh there are some tips that is that that are very important, so otherwise you're not gonna miss the the diagnosis.↗
▶Ep 42 · 15:39
quotethe technique is quite simple actually, but uh there are some tips that is that that are very important, so otherwise you're not gonna miss the the diagnosis.↗
▶Ep 42 · 15:49
clinicalInsert the rectal tube only 2 to 3 centimeters into the rectum for contrast enema.↗
▶Ep 42 · 15:49
clinicalInsert the rectal tube only 2 to 3 centimeters into the rectum for contrast enema.↗
▶Ep 42 · 15:57
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.↗
▶Ep 42 · 15:57
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.↗
▶Ep 42 · 15:57
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 42 · 15:57
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 42 · 16:19
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.↗
▶Ep 42 · 16:19
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.↗
▶Ep 42 · 16:31
clinicalInject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.↗
▶Ep 42 · 16:31
clinicalInject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.↗
▶Ep 42 · 16:56
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic involvement, stop at the transverse colon.↗
▶Ep 42 · 16:56
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic involvement, stop at the transverse colon.↗
▶Ep 42 · 17:25
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.↗
▶Ep 42 · 17:25
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.↗
▶Ep 42 · 18:18
clinicalThe inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.↗
▶Ep 42 · 18:18
clinicalThe inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.↗
▶Ep 42 · 18:33
clinicalThe affected (aganglionic) segment will be spastic, which is why contrast should not be given in large amounts or too fast, as this will cause you to miss the spasticity.↗
▶Ep 42 · 18:33
clinicalThe affected (aganglionic) segment will be spastic, which is why contrast should not be given in large amounts or too fast, as this will cause you to miss the spasticity.↗
▶Ep 42 · 19:17
clinicalAlways counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.↗
▶Ep 42 · 19:17
clinicalAlways counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.↗
▶Ep 42 · 19:31
quoteI always show the contrast after the study to be sure that they know. What we have been injected in the colon, so whenever the child put it out, they know what's going on.↗
▶Ep 42 · 19:31
clinicalShow the family the contrast material before and after the study so they know what to expect when white material comes out.↗
▶Ep 42 · 19:31
quoteI always show the contrast after the study to be sure that they know. What we have been injected in the colon, so whenever the child put it out, they know what's going on.↗
▶Ep 42 · 19:31
clinicalShow the family the contrast material before and after the study so they know what to expect when white material comes out.↗
clinicalThe technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.↗
▶Ep 1 · 16:42
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 1 · 16:42
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 1 · 17:04
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline.↗
▶Ep 1 · 17:16
clinicalInject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 1 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 1 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 1 · 18:10
clinicalObtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.↗
▶Ep 1 · 18:47
clinicalThe primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.↗
▶Ep 1 · 19:03
clinicalInversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.↗
▶Ep 1 · 19:18
clinicalThe aganglionic segment will appear spastic, which is why contrast should not be given in large amounts or too fast, or the spasticity will be missed.↗
▶Ep 1 · 20:08
clinicalAlways counsel families about good hydration after the study and show them the contrast material so they know what to expect when the child evacuates it.↗
▶Ep 1 · 20:47
clinicalThe main technical points are: never use a Foley in the rectum, inject contrast very slowly and gently under continuous fluoroscopy, and look for the diagnostic signs.↗
Radiology and Image Diagnosis of Hirschsprung Disease
▶Ep 4 · 16:34
clinicalDr. Ocelami's technique: insert rectal tube only 2-3 centimeters into the rectum, never use a Foley catheter inside the rectum, hold the buttocks tight or ask older child to hold contrast.↗
▶Ep 4 · 16:42
quotewe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 4 · 17:04
clinicalIn the neonatal period use water soluble contrast diluted 50% contrast and 50% saline, infuse very gently and very slowly with a syringe (not gravity) under fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 4 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 4 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment is normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 4 · 18:10
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position; remove the tube to get a good look at the rectum without the tube.↗
▶Ep 4 · 18:50
clinicalThe main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.↗
▶Ep 4 · 18:50
quoteas far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.↗
▶Ep 4 · 19:05
clinicalThe inversion of the rectal sigmoid index is very helpful and valued as a sign.↗
▶Ep 4 · 19:18
quoteif you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment↗
▶Ep 4 · 19:18
clinicalThe affected or aganglionic segment will be spastic; if you give contrast with too much volume or too fast you will miss the spasticity of the affected segment.↗
▶Ep 4 · 19:37
clinicalIrregularity of the bowel and enterocolitis are good signs to look for on enema.↗
▶Ep 4 · 20:02
clinicalAlways talk to the family after the study; ask for good hydration after using barium or water soluble contrast to help the child evacuate and avoid dehydration.↗
▶Ep 4 · 20:16
clinicalAlways show the family the contrast used so when white stuff comes out they know what is going on.↗
▶Ep 4 · 20:16
quoteI always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.↗
▶Ep 4 · 20:47
clinicalThe main points of technique: never use Foley inside the rectum, inject contrast very slowly and gently using fluoroscopy all the time, look for the signs, and talk to the family before and after the study.↗
Hirschsprung Disease: Radiology Aspect
▶Ep 8 · 15:39
quotethe technique is quite simple actually, but uh there are some tips that is that that are very important, so otherwise you're not gonna miss the the diagnosis.↗
▶Ep 8 · 15:49
clinicalInsert the rectal tube only 2 to 3 centimeters into the rectum for contrast enema.↗
▶Ep 8 · 15:57
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 8 · 15:57
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.↗
▶Ep 8 · 16:19
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.↗
▶Ep 8 · 16:31
clinicalInject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.↗
▶Ep 8 · 16:56
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic involvement, stop at the transverse colon.↗
▶Ep 8 · 17:25
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.↗
▶Ep 8 · 18:18
clinicalThe inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.↗
▶Ep 8 · 18:33
clinicalThe affected (aganglionic) segment will be spastic, which is why contrast should not be given in large amounts or too fast, as this will cause you to miss the spasticity.↗
▶Ep 8 · 19:17
clinicalAlways counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.↗
▶Ep 8 · 19:31
clinicalShow the family the contrast material before and after the study so they know what to expect when white material comes out.↗
▶Ep 8 · 19:31
quoteI always show the contrast after the study to be sure that they know. What we have been injected in the colon, so whenever the child put it out, they know what's going on.↗
clinicalThe technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.↗
▶Ep 2 · 16:34
clinicalThe technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.↗
▶Ep 2 · 16:42
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 2 · 16:42
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 2 · 16:42
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 2 · 16:42
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 2 · 17:04
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline.↗
▶Ep 2 · 17:04
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline.↗
▶Ep 2 · 17:16
clinicalInject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 2 · 17:16
clinicalInject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 2 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 2 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 2 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 2 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 2 · 18:10
clinicalObtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.↗
▶Ep 2 · 18:10
clinicalObtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.↗
▶Ep 2 · 18:47
clinicalThe primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.↗
▶Ep 2 · 18:47
clinicalThe primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.↗
▶Ep 2 · 19:03
clinicalInversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.↗
▶Ep 2 · 19:03
clinicalInversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.↗
▶Ep 2 · 19:18
clinicalThe aganglionic segment will appear spastic, which is why contrast should not be given in large amounts or too fast, or the spasticity will be missed.↗
▶Ep 2 · 19:18
clinicalThe aganglionic segment will appear spastic, which is why contrast should not be given in large amounts or too fast, or the spasticity will be missed.↗
▶Ep 2 · 20:08
clinicalAlways counsel families about good hydration after the study and show them the contrast material so they know what to expect when the child evacuates it.↗
▶Ep 2 · 20:08
clinicalAlways counsel families about good hydration after the study and show them the contrast material so they know what to expect when the child evacuates it.↗
▶Ep 2 · 20:47
clinicalThe main technical points are: never use a Foley in the rectum, inject contrast very slowly and gently under continuous fluoroscopy, and look for the diagnostic signs.↗
▶Ep 2 · 20:47
clinicalThe main technical points are: never use a Foley in the rectum, inject contrast very slowly and gently under continuous fluoroscopy, and look for the diagnostic signs.↗
Radiology and Image Diagnosis of Hirschsprung Disease
▶Ep 6 · 16:34
clinicalDr. Ocelami's technique: insert rectal tube only 2-3 centimeters into the rectum, never use a Foley catheter inside the rectum, hold the buttocks tight or ask older child to hold contrast.↗
▶Ep 6 · 16:34
clinicalDr. Ocelami's technique: insert rectal tube only 2-3 centimeters into the rectum, never use a Foley catheter inside the rectum, hold the buttocks tight or ask older child to hold contrast.↗
▶Ep 6 · 16:42
quotewe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 6 · 16:42
quotewe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it↗
▶Ep 6 · 17:04
clinicalIn the neonatal period use water soluble contrast diluted 50% contrast and 50% saline, infuse very gently and very slowly with a syringe (not gravity) under fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 6 · 17:04
clinicalIn the neonatal period use water soluble contrast diluted 50% contrast and 50% saline, infuse very gently and very slowly with a syringe (not gravity) under fluoroscopy to avoid distending the aganglionic segment.↗
▶Ep 6 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 6 · 17:23
quoteyou have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.↗
▶Ep 6 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment is normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 6 · 17:41
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment is normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic disease, stop at the transverse colon.↗
▶Ep 6 · 18:10
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position; remove the tube to get a good look at the rectum without the tube.↗
▶Ep 6 · 18:10
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position; remove the tube to get a good look at the rectum without the tube.↗
▶Ep 6 · 18:50
clinicalThe main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.↗
▶Ep 6 · 18:50
quoteas far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.↗
▶Ep 6 · 18:50
clinicalThe main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.↗
▶Ep 6 · 18:50
quoteas far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.↗
▶Ep 6 · 19:05
clinicalThe inversion of the rectal sigmoid index is very helpful and valued as a sign.↗
▶Ep 6 · 19:05
clinicalThe inversion of the rectal sigmoid index is very helpful and valued as a sign.↗
▶Ep 6 · 19:18
clinicalThe affected or aganglionic segment will be spastic; if you give contrast with too much volume or too fast you will miss the spasticity of the affected segment.↗
▶Ep 6 · 19:18
quoteif you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment↗
▶Ep 6 · 19:18
clinicalThe affected or aganglionic segment will be spastic; if you give contrast with too much volume or too fast you will miss the spasticity of the affected segment.↗
▶Ep 6 · 19:18
quoteif you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment↗
▶Ep 6 · 19:37
clinicalIrregularity of the bowel and enterocolitis are good signs to look for on enema.↗
▶Ep 6 · 19:37
clinicalIrregularity of the bowel and enterocolitis are good signs to look for on enema.↗
▶Ep 6 · 20:02
clinicalAlways talk to the family after the study; ask for good hydration after using barium or water soluble contrast to help the child evacuate and avoid dehydration.↗
▶Ep 6 · 20:02
clinicalAlways talk to the family after the study; ask for good hydration after using barium or water soluble contrast to help the child evacuate and avoid dehydration.↗
▶Ep 6 · 20:16
quoteI always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.↗
▶Ep 6 · 20:16
clinicalAlways show the family the contrast used so when white stuff comes out they know what is going on.↗
▶Ep 6 · 20:16
clinicalAlways show the family the contrast used so when white stuff comes out they know what is going on.↗
▶Ep 6 · 20:16
quoteI always show the contrast that I've been using because I've had a couple of times in the past people calling me after the study saying that white stuff is coming out from the child and I always show the contrast after the study to be sure that they know.↗
▶Ep 6 · 20:47
clinicalThe main points of technique: never use Foley inside the rectum, inject contrast very slowly and gently using fluoroscopy all the time, look for the signs, and talk to the family before and after the study.↗
▶Ep 6 · 20:47
clinicalThe main points of technique: never use Foley inside the rectum, inject contrast very slowly and gently using fluoroscopy all the time, look for the signs, and talk to the family before and after the study.↗
Hirschsprung Disease: Radiology Aspect
▶Ep 17 · 15:39
quotethe technique is quite simple actually, but uh there are some tips that is that that are very important, so otherwise you're not gonna miss the the diagnosis.↗
▶Ep 17 · 15:39
quotethe technique is quite simple actually, but uh there are some tips that is that that are very important, so otherwise you're not gonna miss the the diagnosis.↗
▶Ep 17 · 15:49
clinicalInsert the rectal tube only 2 to 3 centimeters into the rectum for contrast enema.↗
▶Ep 17 · 15:49
clinicalInsert the rectal tube only 2 to 3 centimeters into the rectum for contrast enema.↗
▶Ep 17 · 15:57
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 17 · 15:57
clinicalNever use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.↗
▶Ep 17 · 15:57
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.↗
▶Ep 17 · 15:57
quoteWe never used a Foley catheter inside the rectum, and it's surprisingly for me that sometimes they send images for us to take a look, and yet with the Foley within the rectum, so you never use it.↗
▶Ep 17 · 16:19
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.↗
▶Ep 17 · 16:19
clinicalIn the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.↗
▶Ep 17 · 16:31
clinicalInject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.↗
▶Ep 17 · 16:31
clinicalInject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.↗
▶Ep 17 · 16:56
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic involvement, stop at the transverse colon.↗
▶Ep 17 · 16:56
clinicalAfter the neonatal period, fill only up to the transverse colon; if the studied segment appears normal in distension, caliber, and mucosa, and the splenic flexure shows no suggestion of total colonic involvement, stop at the transverse colon.↗
▶Ep 17 · 17:25
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.↗
▶Ep 17 · 17:25
clinicalObtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.↗
▶Ep 17 · 18:18
clinicalThe inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.↗
▶Ep 17 · 18:18
clinicalThe inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.↗
▶Ep 17 · 18:33
clinicalThe affected (aganglionic) segment will be spastic, which is why contrast should not be given in large amounts or too fast, as this will cause you to miss the spasticity.↗
▶Ep 17 · 18:33
clinicalThe affected (aganglionic) segment will be spastic, which is why contrast should not be given in large amounts or too fast, as this will cause you to miss the spasticity.↗
▶Ep 17 · 19:17
clinicalAlways counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.↗
▶Ep 17 · 19:17
clinicalAlways counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.↗
▶Ep 17 · 19:31
quoteI always show the contrast after the study to be sure that they know. What we have been injected in the colon, so whenever the child put it out, they know what's going on.↗
▶Ep 17 · 19:31
clinicalShow the family the contrast material before and after the study so they know what to expect when white material comes out.↗
▶Ep 17 · 19:31
quoteI always show the contrast after the study to be sure that they know. What we have been injected in the colon, so whenever the child put it out, they know what's going on.↗
▶Ep 17 · 19:31
clinicalShow the family the contrast material before and after the study so they know what to expect when white material comes out.↗
