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USU - The Nations Medical School

USU - The Nations Medical School

Cross-Sectional Anatomy: Abdomen and Pelvis


James G. Smirniotopoulos, M.D. Radiology and Radiological Sciences Uniformed Services University of the Health Sciences Bethesda, MD james-smirnio@usuhs.mil

Learn to navigate axial slices Focus on Genitourinary

Educational Objectives

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Differences between male and female Basic locations


Bladder Prostate or Uterus Rectum Sacroiliac Hip Pubic symphysis

KUB (kidney ureter bladder)

Major joints

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USU - The Nations Medical School

There is a Lot to Remember

Three Cylinders
Spine Abdominal Aorta Inferior Vena Cava

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USU - The Nations Medical School

Three Cylinders IVC Aorta

Three Cylinders IVC Aorta

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Spine

Spine

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USU - The Nations Medical School

Three Cylinders and Abdomen

Three Cylinders and Abdomen

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USU - The Nations Medical School

USU - The Nations Medical School

Three Cylinders and Abdomen

Three Cylinders and Abdomen

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Abdomen: Plain Film

Abdomen: Plain Film

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Three Cylinders and Abdomen Liver

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Spleen

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USU - The Nations Medical School

Three Cylinders and Abdomen

Three Cylinders and Abdomen

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Liver Spleen

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USU - The Nations Medical School

Retroperitoneum: Contents
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Kidneys Adrenal glands Aorta and IVC Lymph nodes

Pancreas Duodenum Colon(Asc + Desc ) Fat

Kidneys

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Kidneys

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USU - The Nations Medical School

The Kidneys Morphology Physiology Pathology

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USU - The Nations Medical School

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medpix27041.jpg

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medpix27042.jpg

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medpix27043.jpg

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Intravenous Pyelogram
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Hydronephrosis

Normal

Hydronephrosis

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USU - The Nations Medical School

Hematuria and Flank Pain


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Pt w/hematuria Renal Cell Carcinoma

Hypertension
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Adrenal Mass

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USU - The Nations Medical School

Renal Cysts
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AdultRenal Cyst AND Cancer Polycystic Kidney Disease

T1W

MRA

T2W

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USU - The Nations Medical School

Adrenal Glands

Adrenal Hyperplasia

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ACTH Secreting Tumor


(bronchial carcinoid)

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USU - The Nations Medical School

Pulsatile Abdominal Mass


CT angiogram

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Catheter angiogram

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USU - The Nations Medical School

Abdominal Aortic Aneurysm


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Abdominal Aortic Aneurysm

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Retroperitoneal Masses

Retroperitoneal Lymph Nodes


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USU - The Nations Medical School

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USU - The Nations Medical School

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Pelvic Structures
Bone Genitourinary Gastrointestinal Vascular and Nervous System

Pelvic Structures
Bone
Axial Sacrum and coccyx Iliac, ischium, pubis

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Genitourinary Gastrointestinal Vascular and Nervous System

USU - The Nations Medical School

USU - The Nations Medical School

Pelvic Structures
Bone Genitourinary
Ureters and Bladder Prostate, seminal vesicle, testis, penis Uterus, ovary, fallopian tube, vagina

Pelvic Structures
Bone Genitourinary Gastrointestinal
Illium, cecum, appendix Sigmoid colon and rectum

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Gastrointestinal Vascular and Nervous System

Vascular and Nervous System

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Pelvic Structures
Bone Genitourinary Gastrointestinal Vascular and Nervous System
Iliac vessels Sacral plexus and sciatic nerve Femoral vessels

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USU - The Nations Medical School

Pelvis - Schematic
acetabula

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Sacrum

iliac

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USU - The Nations Medical School

Pelvis Female Schematic

Female Pelvis

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USU - The Nations Medical School

Female Pelvis

Female Pelvis

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USU - The Nations Medical School

Female Pelvis

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uterus

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Sigmoid Colon and Rectum

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Male -- - - - - - Female

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B U Seminal vesicles and Prostate Uterus and Ovaries

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Male Pelvis

Barium * *

Enemy Enema *

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Seminal Vesicles

BIG Prostate

12

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USU - The Nations Medical School

Constipation and Blood in Stool

Malrotation
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Apple Core Lesion

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USU - The Nations Medical School

Malrotation
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Identify Foreign Bodies

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Summary and Review

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USU - The Nations Medical School

So, When you look at Scans


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Happy Thanksgiving !!

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