Invertogram to be done in a newborn –
**Core Concept**
Invertogram, also known as the "inverted view," is a radiographic technique used to evaluate the position of the intestinal gas in relation to the bony structures of the abdominal cavity. This is particularly useful in the diagnosis of intestinal obstructions or atresias in newborns.
**Why the Correct Answer is Right**
The invertogram is performed by positioning the newborn in a prone position with the X-ray beam directed from below upwards, allowing the gas-filled intestines to be visualized against the bony structures of the spine and pelvis. This technique helps to identify any abnormalities in intestinal gas distribution, which can indicate intestinal obstruction or atresia. The invertogram is a valuable tool in the diagnosis of these conditions, as it provides a clear view of the intestinal gas in relation to the surrounding structures.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the invertogram is not typically used to evaluate the position of the liver or spleen.
**Option B:** This option is incorrect because the barium enema is a different radiographic technique used to evaluate the lower gastrointestinal tract, but it is not the same as the invertogram.
**Option C:** This option is incorrect because the abdominal X-ray is a general radiographic view that can be used to evaluate various abdominal structures, but it is not as specific or useful as the invertogram for diagnosing intestinal obstructions or atresias.
**Clinical Pearl / High-Yield Fact**
The invertogram is a simple and effective radiographic technique that can be used to diagnose intestinal obstructions or atresias in newborns. It is essential to remember that the invertogram should be performed in a prone position with the X-ray beam directed from below upwards to get the best results.
**Correct Answer: A. Invertogram.**