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Medical Lectures III
Radiology
50
Medical
Undergraduate 2
10/19/2016

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Term
CRX is a "chest radiograph" or also called the ?
Definition
roentgenogram
Term
German physicist, Wilhelm Conrad Roentgen discovered the x ray in the year?
Definition
1895
Term
Give 3 examples of how Digital radiography is replacing film in medicine?
Definition
1- Digital images can be manipulated by adjusting contrast, brightness & magnification.
2- Also allows multiple people to see the image at the same time.
3- Images can also be easily copied and recorded on CD for patients to share with their physicians.
Term
X-rays is energy that has no mass, no electrical charge and is able to?
Definition
Effect biological tissue and photo emulsion.
Term
? feet is the required distance, to be safe fro scatter exposure?
Definition
6
Term
List 4 indications for the Chest Xray examination?
Definition
1- Detecting alterations of the lung caused by pathologic processes.
2- Determining appropriate therapy
3- Determining position of tubes and catheters.
4- Observation of the progression of lung disease.
Term
Many pulmonary problems can be detected before their presence is detected by other clinical examinations. List 3 possible conditions
Definition
Pneumothorax
foreign bodies
displaced tubes
Term
The tip of the ETT should be positioned below the vocal cords and no closer than ?
Definition
3-5 cm above the carina
Term
An ETT should be placed approximately at the same level of the?
Definition
Aortic knob or aortic arch
Term
? & ?, are 2 procedures, that will quickly determine adequate ventilation before a CRX is done
Definition
Observation & Auscultation
Term
This a definitive test for ETT placement
Definition
CXR or chest xray
Term
These tubes do not pose a problem with intubation of on lung, but rather positioning within the trachea?
Definition
Tracheostomy
Term
The right lung should comprise approximately ? of the total lung volume & should appear larger than the left lung
Definition
55%
Term
The cuff should not exceed the end of the ? or ?
Definition
Endotracheal or tracheostomy
Term
This is an anatomical landmark in Chest X Rays?
Definition
Trachea
Term
? should not be narrowed at the carina or the distal
Definition
Major Bronchi
Term
If narrowing of the major bronchi, is present, this may indicate the following carcinoma?
Definition
Bronchogenic carcinoma
Term
This anatomical landmark is the area between the lungs where the heart, lymphatics, blood vessels ad major bronchi are found?
Definition
Mediastinum
Term
The mediastinum may shift with the following conditions
Definition
Pleural effusion
pneumothorax
tumor
Term
This diameter will be increased with COPD, barrel chest and hyperinflation?
Definition
A-P
Term
these are indications to look for with an increased A-P diameter
Definition
Large lung volumes
flattened diaphragm
widened intercostal spaces
small narrow heart
Term
These angles make the outer curve of the diaphragm and chest wall?
Definition
Costophrenic Angles
Term
Costophrenic angles are obliterated by ?
Definition
Pleural effusions
Term
The diaphragm is normally ? shape
Definition
Dome-shaped
Term
List anatomical landmarks a RT would look for on a CXR?
Definition
Trachea
Mediastinum
AP diameter
Costophrenic angles
Diaphragm
Vascular markings
Heart Shadow
Term
Left or right hemi diaphragms may shift downward with left or right pneumothorax, they will appear ? on one side
Definition
Flattened
Term
Vascular markings are made up with
Definition
blood vessels
lymphatics
lung tissue
Term
Increased vascular markings are indicative of ?
Definition
Pulmonary Edema
Term
This should be no greater than 1/3 of the chest
Definition
Heart Shadow
Term
If the heart shadow is 1/2 or greater, this is indicative of ?
Definition
Cardiomegaly
Term
This is tissue that surrounds the chest & above the neck area
Definition
Soft tissue
Term
This condition is referred to as "hyperlucency of soft tissue" or when air is seen surrounding soft tissue
Definition
Subcutaneous emphysema
Term
This film is taken from behind with the patients chest pressed against the film cassette and done when the patient is unable to sit or stand
Definition
AP/ Anteroposterior
Term
AP CXR is less than optimal because the diaphragm is not
Definition
Fully expanded so there is less aeration or less density
Term
This type of xray is a projection of the lung apices, lingual, and right middle lobe.
Definition
Apical Lordotic
Term
An apical lordotic confirms the presence of?
Definition
TB, de to TB affecting the apices
Term
List 4 distinct densities that are recognized on a CXR?
Definition
Bone
Water
Fat
Air(gas)
Term
Bone on a CXR is
Definition
very dense
Term
Water on a CXR is
Definition
less dense (grey ex: heart, bladder, muscles)
Term
Fat on a CXR is
Definition
mildly radiolucent ( light grey ex: lipids, tissue around muscle)
Term
Air on a CXR is
Definition
radiolucent ( black ex: stomach)
Term
Terminology for radiolucent & diagnosis
Definition
dark pattern, air
diagnosis Normal for lungs
Term
Radiodense
Definition
white pattern, solid fluid
Diagnosis normal for bones, organs
Term
infiltrate
Definition
any ill defined radiodensity
diagnosis atelectasis
Term
Consolidation
Definition
solid white area
Diagnosis pneumonia
Term
Hyperflucency
Definition
extra pulmonary air
Diagnosis COPD, pneumo, asthma attack
Term
Terminology
Diffuse
Definition
spread throughout
ex: atelectasis, pneumonia
Term
Opaque
Definition
fluid, solid
ex:consolidaton
Term
Bilateral
Definition
on both sides
Term
Unilateral
Definition
on one side
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