Term
CRX is a "chest radiograph" or also called the ? |
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German physicist, Wilhelm Conrad Roentgen discovered the x ray in the year? |
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Give 3 examples of how Digital radiography is replacing film in medicine? |
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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. |
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X-rays is energy that has no mass, no electrical charge and is able to? |
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Definition
Effect biological tissue and photo emulsion. |
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? feet is the required distance, to be safe fro scatter exposure? |
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List 4 indications for the Chest Xray examination? |
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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. |
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Many pulmonary problems can be detected before their presence is detected by other clinical examinations. List 3 possible conditions |
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Definition
Pneumothorax foreign bodies displaced tubes |
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The tip of the ETT should be positioned below the vocal cords and no closer than ? |
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An ETT should be placed approximately at the same level of the? |
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Definition
Aortic knob or aortic arch |
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Term
? & ?, are 2 procedures, that will quickly determine adequate ventilation before a CRX is done |
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Definition
Observation & Auscultation |
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This a definitive test for ETT placement |
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These tubes do not pose a problem with intubation of on lung, but rather positioning within the trachea? |
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The right lung should comprise approximately ? of the total lung volume & should appear larger than the left lung |
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The cuff should not exceed the end of the ? or ? |
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Definition
Endotracheal or tracheostomy |
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This is an anatomical landmark in Chest X Rays? |
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Definition
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? should not be narrowed at the carina or the distal |
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If narrowing of the major bronchi, is present, this may indicate the following carcinoma? |
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Definition
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This anatomical landmark is the area between the lungs where the heart, lymphatics, blood vessels ad major bronchi are found? |
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Definition
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The mediastinum may shift with the following conditions |
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Definition
Pleural effusion pneumothorax tumor |
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Term
This diameter will be increased with COPD, barrel chest and hyperinflation? |
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Definition
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these are indications to look for with an increased A-P diameter |
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Definition
Large lung volumes flattened diaphragm widened intercostal spaces small narrow heart |
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Term
These angles make the outer curve of the diaphragm and chest wall? |
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Costophrenic angles are obliterated by ? |
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Definition
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The diaphragm is normally ? shape |
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Definition
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List anatomical landmarks a RT would look for on a CXR? |
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Definition
Trachea Mediastinum AP diameter Costophrenic angles Diaphragm Vascular markings Heart Shadow |
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Term
Left or right hemi diaphragms may shift downward with left or right pneumothorax, they will appear ? on one side |
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Definition
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Vascular markings are made up with |
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Definition
blood vessels lymphatics lung tissue |
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Increased vascular markings are indicative of ? |
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This should be no greater than 1/3 of the chest |
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If the heart shadow is 1/2 or greater, this is indicative of ? |
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Definition
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This is tissue that surrounds the chest & above the neck area |
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This condition is referred to as "hyperlucency of soft tissue" or when air is seen surrounding soft tissue |
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Definition
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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 |
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Definition
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AP CXR is less than optimal because the diaphragm is not |
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Definition
Fully expanded so there is less aeration or less density |
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This type of xray is a projection of the lung apices, lingual, and right middle lobe. |
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Definition
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An apical lordotic confirms the presence of? |
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Definition
TB, de to TB affecting the apices |
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List 4 distinct densities that are recognized on a CXR? |
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less dense (grey ex: heart, bladder, muscles) |
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mildly radiolucent ( light grey ex: lipids, tissue around muscle) |
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radiolucent ( black ex: stomach) |
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Terminology for radiolucent & diagnosis |
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Definition
dark pattern, air diagnosis Normal for lungs |
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white pattern, solid fluid Diagnosis normal for bones, organs |
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any ill defined radiodensity diagnosis atelectasis |
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solid white area Diagnosis pneumonia |
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extra pulmonary air Diagnosis COPD, pneumo, asthma attack |
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spread throughout ex: atelectasis, pneumonia |
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fluid, solid ex:consolidaton |
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