Change: Moved by AndyC Feb 8 2010, 6:40 AM EST

Change: adand MorgagniDiaphragmatic herniaRuptured DiaphragmThis could be considered a type of diaphragmatic herniaExternal Inguinal and Femoral can easily be missed if the obturator foramen are not included in the image Para-umbilical a supine decubitus tangential of the hernia lump   View changes from previous version. (Word count: 1725)

Change: presentation may reveal a history of hernia whennot talking tomentioned by the patientreferring aboutdoctor. theirA presentationclear toand thecomphensive Emergencyknowledhge Department. Thisof allowsthe forpatients appropriateclinical supplementarysigns viewsand tohistory bemay precipitate impotant supplementary obtained.views.   View changes from previous version. (Word count: 1714)

Change: palpabalpalpable lump just above and to the left of her umbilicis.umbilicus. The radiographer noticed that the lump became visible when she moved onto the X-ray table. This was presumed to be caused by increased abdominal pressure associated with moving onto the X-ray table from the barouche.The   View changes from previous version. (Word count: 1698)

Change: Bokdalek ad MorgagniDiaphragmatic herniaExternal Inguinal and Femoral can easily be missed if the obturator foramen are not included in the image Para-umbilical a supine decubitus tangential of the hernia lump can reveal incarcerated bowel. An Aluminium filter technique is very usefully employed. Incisional/ventral occurs at site   View changes from previous version. (Word count: 1225)

Change:  in the referral) when talking to the patient. A simple question like "how are you?" can lead to all manner of relevant information eg "I'm   View changes from previous version. (Word count: 1194)

Change:  (see below)The radiographer identified the position of the patient's hernia and performed an erect tangential view of the hernia. The hernia is clearly demonstrateddemonstrated, as are the small bowel loops within the hernia (white arrow). The tangential image was performed without   View changes from previous version. (Word count: 1104)

Change: Successful demonstration of external abdominal hernias will require radiographers to undertake dedicated supplementary views in some patients. I sometimes discover that the patient has an   View changes from previous version. (Word count: 1094)

Change: argerlarger field size. It is very common to perform two supine abdominal images when one would suffice if the IR was a little larger. At a more realistic ad practicapractical level, where the radiographer suspects inguinal/femoral hernia, inclusion of tethe obturator foramen wouyldwould be justified. Para-umbilical,   View changes from previous version. (Word count: 985)

Change:  The tangential view is possibly best performed in the supine decubitus position. The reasoning is that incarcerated bowel could be missed if it contains no   View changes from previous version. (Word count: 828)