Rodrigo Ocelami
210 statements · 3 topics
Featured statements
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.
quote ·
Colorectal / ARM & Hirschsprung
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
quote ·
Colorectal / ARM & Hirschsprung
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
quote ·
Enterocolitis
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
quote ·
Enterocolitis
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
quote ·
Hirschsprung disease
After 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.
clinical ·
Hirschsprung disease
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Rodrigo's statements about Colorectal / ARM & Hirschsprung 84 statements
Open the Colorectal / ARM & Hirschsprung collection →
Evaluation & Management Of Hirschsprung's Disease
Statement
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
Open
Statement
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Quotation
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
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Quotation
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
Open
Statement
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
Open
Statement
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.
Open
Statement
Obtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.
Open
Statement
The primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.
Open
Statement
The primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.
Open
Statement
Inversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.
Open
Statement
Inversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Always 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.
Open
Statement
Always 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.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Radiology and Image Diagnosis of Hirschsprung Disease
Statement
Dr. 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.
Open
Statement
Dr. 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.
Open
Quotation
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
Open
Quotation
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
Open
Statement
In 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.
Open
Statement
In 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.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain 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.
Open
Statement
Obtain 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.
Open
Statement
The main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.
Open
Quotation
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
Open
Quotation
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
Open
Statement
The main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.
Open
Quotation
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
Open
Quotation
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Always 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.
Open
Statement
Always 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.
Open
Quotation
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.
Open
Statement
Always show the family the contrast used so when white stuff comes out they know what is going on.
Open
Quotation
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.
Open
Statement
Always show the family the contrast used so when white stuff comes out they know what is going on.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Hirschsprung Disease: Radiology Aspect
Quotation
the 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.
Open
Quotation
the 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.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
In the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.
Open
Statement
In the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.
Open
Statement
Inject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.
Open
Statement
Inject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.
Open
Statement
Obtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.
Open
Statement
The inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.
Open
Statement
The inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Always counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.
Open
Statement
Always counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.
Open
Quotation
I 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.
Open
Statement
Show the family the contrast material before and after the study so they know what to expect when white material comes out.
Open
Quotation
I 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.
Open
Statement
Show the family the contrast material before and after the study so they know what to expect when white material comes out.
Open
Rodrigo's statements about Enterocolitis 42 statements
Open the Enterocolitis collection →
Evaluation & Management Of Hirschsprung's Disease
Statement
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
Open
Quotation
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
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
Obtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.
Open
Statement
The primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.
Open
Statement
Inversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
Always 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.
Open
Statement
The 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.
Open
Radiology and Image Diagnosis of Hirschsprung Disease
Statement
Dr. 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.
Open
Quotation
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
Open
Statement
In 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.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
Obtain 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.
Open
Quotation
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
Open
Statement
The main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.
Open
Statement
The 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.
Open
Quotation
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
Open
Statement
Always 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.
Open
Quotation
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.
Open
Statement
Always show the family the contrast used so when white stuff comes out they know what is going on.
Open
Statement
The 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.
Open
Hirschsprung Disease: Radiology Aspect
Quotation
the 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.
Open
Quotation
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.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
In the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.
Open
Statement
Inject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.
Open
Statement
After 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.
Open
Statement
Obtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.
Open
Statement
The inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
Always counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.
Open
Quotation
I 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.
Open
Statement
Show the family the contrast material before and after the study so they know what to expect when white material comes out.
Open
Rodrigo's statements about Hirschsprung disease 84 statements
Open the Hirschsprung disease collection →
Evaluation & Management Of Hirschsprung's Disease
Statement
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
Open
Statement
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Quotation
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
Open
Quotation
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
Open
Statement
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
Open
Statement
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.
Open
Statement
Obtain images in left lateral, right lateral, and AP positions, and remove the tube to visualize the rectum without obstruction.
Open
Statement
The primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.
Open
Statement
The primary finding to look for is the transition zone; once found, the diagnosis is made and contrast administration can stop.
Open
Statement
Inversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.
Open
Statement
Inversion of the rectosigmoid index is a helpful sign in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Always 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.
Open
Statement
Always 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.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Radiology and Image Diagnosis of Hirschsprung Disease
Statement
Dr. 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.
Open
Statement
Dr. 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.
Open
Quotation
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
Open
Quotation
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
Open
Statement
In 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.
Open
Statement
In 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.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Quotation
you have to do it very slowly and very gently because otherwise you can miss or distend a ganglionic segment of the colon.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain 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.
Open
Statement
Obtain 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.
Open
Statement
The main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.
Open
Quotation
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
Open
Statement
The main goal is to find the transition zone; as soon as you find it, stop the contrast because the diagnosis is made.
Open
Quotation
as far as soon as you you find it, uh, we actually stopped the the contrast because the diagnosis is made.
Open
Quotation
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
Open
Statement
The 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.
Open
Statement
The 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.
Open
Quotation
if you give contrast with a lot of amount or too too fast because you're going to miss the spasticity of the affected segment
Open
Statement
Always 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.
Open
Statement
Always 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.
Open
Quotation
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.
Open
Statement
Always show the family the contrast used so when white stuff comes out they know what is going on.
Open
Quotation
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.
Open
Statement
Always show the family the contrast used so when white stuff comes out they know what is going on.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Hirschsprung Disease: Radiology Aspect
Quotation
the 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.
Open
Quotation
the 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.
Open
Quotation
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.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Statement
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
Open
Quotation
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.
Open
Statement
In the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.
Open
Statement
In the neonatal period, use water-soluble contrast diluted 50% with saline for contrast enema.
Open
Statement
Inject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.
Open
Statement
Inject contrast very slowly and gently via syringe (not gravity) to avoid distending the aganglionic segment and missing the diagnosis.
Open
Statement
After 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.
Open
Statement
After 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.
Open
Statement
Obtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.
Open
Statement
Obtain two images in left lateral decubitus, two in right lateral decubitus, and two in AP position during contrast enema.
Open
Statement
The inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.
Open
Statement
The inversion of the rectosigmoid index (rectum smaller than sigmoid) is very helpful in diagnosing Hirschsprung disease.
Open
Statement
The 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.
Open
Statement
The 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.
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Statement
Always counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.
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Statement
Always counsel families about good hydration after contrast enema to help the child evacuate the contrast and avoid dehydration.
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Statement
Show the family the contrast material before and after the study so they know what to expect when white material comes out.
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Quotation
I 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.
Open
Statement
Show the family the contrast material before and after the study so they know what to expect when white material comes out.
Open
Quotation
I 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.
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