kadom and fasih palet: a tool for making an engaging teaching event
TRANSCRIPT
![Page 1: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/1.jpg)
Kadom and Fasih
Kadom and Fasih
PALET: A tool for making an engaging teaching event
![Page 2: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/2.jpg)
Disclosures
None
![Page 3: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/3.jpg)
“PALET” tool
Preparation
Link
Attention
Engagement Transfer
![Page 4: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/4.jpg)
Professor E.D. Ott
Case presentation
Abdominal Imaging fellows
![Page 5: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/5.jpg)
Mag view
45 y.o. F, family history colon cancerAcute abdominal pain during annual colonoscopy
Plain film signs free air:1.Air under diaphragm2.Falciform ligament sign3.Air both sides of bowel (Rigler sign)
Pearls:•Best erect or l lat decub•CT more sensitive•Most common cause perforated ulcer•1 in 400-500 colonoscopies, rectosigmoid site most common
![Page 6: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/6.jpg)
Washington DC Abdominal Imaging CEDP
course
Quiz caseApril 13th, 2013
![Page 7: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/7.jpg)
History withheld
![Page 8: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/8.jpg)
What is going on?
Supine
Mag view
![Page 9: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/9.jpg)
Quiz 1-Use I respond software
Q. Which segment of the bowel is most likely to have perforated and why?
A. Rectosigmoid
![Page 10: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/10.jpg)
Quiz 2
Q. What are the two most common causes of pneumo-retroperitoneum?
A. Perforated diverticulitis b. Perforated duodenal ulcer
![Page 11: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/11.jpg)
Quiz 3What is the rate of perforation in:A: Optical Colonoscopy? 1 in 400-500B: CT Colonography? 1 in 3000
![Page 12: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/12.jpg)
Coronal
Axial
![Page 13: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/13.jpg)
Supine
Coronal
![Page 14: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/14.jpg)
Pearls
• CT is the most sensitive modality to detect complications of endoscopy.
• Rectosigmoid junction is the most frequent site of perforation.
• Most cases are managed conservatively.
![Page 15: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/15.jpg)
Methods of Engagement
• Multiple choice Q and A, touch pads, show of hands• Quiz, games, case• Questions, answers, discussion – dialogue!• Visuals (slides, videos, white board drawing)• Handouts (tables, articles, resources etc)• Demonstration, simulation, role play
![Page 16: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/16.jpg)
Thank you
![Page 17: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/17.jpg)
Audience #2
High school students
![Page 18: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/18.jpg)
Scenario• 45 year old woman visits the family
doctor for annual health exam. • Anxiety regarding personal health.
Parents had cancer of the large intestine.
• Family doctor refers for a camera test of the large intestine called Colonoscopy(Colon=large bowel, Scope=direct visualization)
![Page 19: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/19.jpg)
Course of events• Patient develops severe belly pain
during the camera examination.• An x –ray of the belly is requested
and performed in the Radiology department.
![Page 20: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/20.jpg)
Normal structures ( Anatomy)
A BNormal X-RAY
Patient’s X-RAY
![Page 21: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/21.jpg)
X ray of the Belly
Patient lying down
Patient lying down: enlarged view
![Page 22: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/22.jpg)
Specialist doctor performing the camera test (Gastroenterologist) requests a CAT scan.
![Page 23: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/23.jpg)
CAT scanner
(Computerized Axial Tomography)
![Page 24: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/24.jpg)
X ray of the Belly
Image from a CAT scan optimized to show free air
![Page 25: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/25.jpg)
Take home points• Camera examination of the bowel
is used to detect cancers in the large intestine.
• Rarely, this may produce a hole in the intestinal wall resulting in air and other contents to leak out into the belly.
• This is an emergency…
![Page 26: Kadom and Fasih PALET: A tool for making an engaging teaching event](https://reader035.vdocument.in/reader035/viewer/2022062805/5697c0191a28abf838cce864/html5/thumbnails/26.jpg)
Questions?