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Pulmonary > 1.2.3 Chest X-Ray Basics > Flashcards

1.2.3 Chest X-Ray Basics Flashcards

1
Q

What lobe is this highlighting?

A

Left upper lobe

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2
Q

How would you describe the size of the heart in this patient?

A

Heart is enlarged - cardiomegaly

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3
Q

Where are all the parts of the heart located?

A
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4
Q

What is the standard distance of a PA CXR?

A

6 feet

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5
Q

What is the silhouette sign?

A

Structures that anatomically contact each other will obscure that border.

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6
Q

What is the normal heart size on a CXR?

A

Less than 1/2 the width of the chest

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7
Q

Where would the divides occur on this lateral CXR?

A
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8
Q

What is occurring in this image?

A

This is normal

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9
Q

What is this patients PCWP?

A

This patient has alveolar edema caused by heart failure. Their PCWP would be greater than 25

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10
Q

Why would you be able to say this infiltrate is in the left lower lobe?

A

It obscures the border of the diaphragm

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11
Q

What is being affected in this image?

A

Right middle lobe

This is a right middle lobe pneumonia

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12
Q

What is wrong with this PICC line?

A

It is positioned too low in the RA, and can put the patient at risk for developing irregular heart beats

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13
Q

In regards to heart failure, what are the CXR findings and their respective PCWP?

A
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14
Q

How would you describe the size of the heart in this patient?

A

Normal sized

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15
Q

Where is this infiltrate located?

A

Right upper border - affecting alveoli

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16
Q

How would you describe the size of the heart in this patient? What is important to note about this image?

A

This patient has cardiomegaly, but it is important to note that this is an AP image. This could cause the heart to appear larger than what it actually is.

17
Q

What is the PCWP on this patient?

A

This patient has congestion and interstitial edema. Their PCWP is most likely 18-25

18
Q

What lobe is this highlighting?

A

Right lower lobe

19
Q

Where should a PICC line go?

A

Right at the SVC

20
Q

What would the PCWP be in this patient?

A

This person has PV congestion, their PCWP is most likely 12-18

21
Q

Where would the fissures appear on a CXR?

A
22
Q

What lobe is this highlighting?

A

Right upper lobe

23
Q

More dense objects will show up how on an CXR?

A

More dense will be whiter and less dense will be darker

24
Q

What is wrong in this image?

A

This is a malpositioned ETT tube in the right bronchus

25
Q

What lobe is this highlighting?

A

Right middle lobe

26
Q

On this CXR, the circled part appears to be affecting what?

A

The alveoli - note cloudy appearance

27
Q

On this CXR, the infiltrates are affecting the?

A

Interstitium

28
Q

How will alveolar infiltrates look on a CXR compared to interstitial infiltrates?

A

Alveolar will look cloudy and interstitial will look like lines

29
Q

What lobe is this highlighting?

A

left lower lobe

30
Q

What is wrong with this image?

A

Malpositioned PICC line into R subclavian vein

31
Q

What is this highlighting?

A

Lingula

32
Q

What is wrong with this image?

A

Malpositioned PICC line in the left jugular

Pulmonary (42 decks)

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