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Radiographic Procedures I: Class 2
Chest
43
Health Care
Undergraduate 3
09/03/2014

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Cards

Term
Identify: body habitus
[image]
Definition
Hypersthenic
* broad, massive build, long abdomen, short broad thorax, narrow pelvis
Term
Identify: body habitus
[image]
Definition
Sthenic
* average, moderately heavy, moderately long abdomen, moderately short, broad and deep thorax, small pelvis
Term
Identify: body habitus
[image]
Definition
Hyposthenic
* lungs longer than sthenic, in between sthenic and asthenic
Term
Identify: body habitus
[image]
Definition
Asthenic
* tall & thin, lungs & heart long & narrow, frail build, short abdomen, long, shallow thorax, wide pelvis
Term
Which body habitus is the most common?
Definition
sthenic
Term
Which body habitus would require you to turn the IR transverse?
Definition
hypersthenic
Term
What is the percentage of the population with a hypersthenic body habitus?
Definition
5%
Term
What is the percentage of the population with a asthenic body habitus?
Definition
10%
Term
What is the percentage of the population with a sthenic body habitus?
Definition
50%
Term
What is the percentage of the population with a hyposthenic body habitus?
Definition
35%
Term
Purpose of Upright CXRs
Definition
1. Prevent engorgement of the pulmonary vessels
2. Allows gravity to depress the diaphragm
3. Demonstrate air/fluid levels
Term
How should the cassette be placed into the IR on a PA?
Definition
Cassette should be placed lengthwise unless patient is hyperstenic
Term
What is wrong with this image?
[image]
Definition
SC (sternoclavicular) joints are not equidistant to spine.
Term
Is this patient rotated?
[image]
Definition
No; Ribs are practically superimposed.
Term
Is this patient rotated?
[image]
Definition
Yes
Term
Identify this position
[image]
Definition
Left Lateral Decubitus (LLD)
Term
Identify this position
[image]
Definition
Right Lateral Decubitus (RLD)
Term
Identify this position
[image]
Definition
Lordotic
Term
Identify this position
[image]
Definition
Left Anterior Oblique (LAO)
Term
Identify this position
[image]
Definition
Right Anterior Oblique (RAO)
Term
Where does the CR enter on a lateral?
Definition
at MCP at the level of T7
Term
Where would you position the IR during the lordotic position?
Definition
3" about the shoulders after the patient is positioned
Term
What angle do you want to put the patient/tube on the lordotic position?
Definition
15-20 degree angle
Term
Identify: projection
[image]
Definition
AP Axial
Term
What angle do you position a patient at for a cardiac series?
Definition
MCP at 55-60 degree angle to IR
Term
Name several specific criteria for evaluating a PA chest X-ray:
Definition
1. Lungs - costaphrenic angles / apices
2. Vascular markings
3. SC joints equidistant to spine
4. 10 posterior ribs
5. MSP
6. Marker
7. Shoulders rolled forward
8. Collimated
Term
Why should a routine CXR be done on full inspiration?
Definition
1. Diaphragm moves inferiorly
2. Costal muscles expands thorax
3. More air with less strain on 2nd inspiration
Term
Where should the clavicles be when imaging a patient in the lordotic position?
Definition
above the apices
Term
Which side is best demonstrated in a PA Oblique?
Definition
elevated side
Term
Where would you place your marker on a PAO?
Definition
side closest to IR
Term
Which phase of respiration best demonstrates a pneumothorax?
Definition
expiration
Term
List routine projections for a chest exam:
Definition
PA, Left Lateral (or Decubitus)
Term
Which phase of respiration removes air from the lungs?
Definition
expiration
Term
When using the phase of respiration that removes air, the diaphragm will move __________.
Definition
superior
Term
Why is a left lateral chest projection preferable to a right lateral?
Definition
Places heart closer to IR, reduces magnification. (Larger OID increases magnification) Also used to show the heart, aorta, and left sided pulmonary lesions
Term
Why do we do a routine chest x-ray at an SID of six feet?
Definition
To decrease magnification of the heart
Term
What does SID stand for?
Definition
Source to Image Receptor Distance
Term
If you were looking for a fluid level in a decubitus chest, you would be interested in the side that is (down/up)
Definition
down
* fluid-side down, air-side up
Term
Why should the shoulders be rotated forward on a PA projection of the chest?
Definition
To remove the scapulae laterally & out of the lung field as much as possible
Term
What would best demonstrate the apices?
Definition
lordotic position, full inspiration (AP axial projection)
Term
What would best demonstrate air in the pleural cavity?
Definition
lateral decubitus (also upright), full inspiration
Term
What would best demonstrate pneumothorax?
Definition
(inspiration and expiration) (PA or AP projection)
Term
What would best demonstrate largest expanse of right lung?
Definition
LAO, full inspiration (PA Oblique projection)
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