14. Chest XRay Basics Flashcards

1
Q

opacity

A

dense structures appear white

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2
Q

lucency

A

less dense structures
appear dark/black

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3
Q

costophrenic angle

A

diaphragm meets ribs

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4
Q

costophrenic angle blunting can indicate

A

small pleural effusion

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5
Q

hemidiaphragm

A

half of diaphragm

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6
Q

elevated hemidiaphragm can indicate

A

abscess
hematoma
tumor
atelectasis
rib fracture

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7
Q

kerley lines indicate

A

pulm edema

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8
Q

standard chest XRAY

A

posterior-anterior (PA)

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9
Q

PA chest XRAY

A

beam pass from posterior to anterior
- source is posterior
- film is anterior

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10
Q

AP chest Xray

A

beam passes through pts from anterior to posterior
- source is anterior
- film is posterior

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11
Q

AP and PA images are viewed

A

looking from the front of pt
(face to face)

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12
Q

are AP or PA more common

A

AP are less common

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13
Q

are AP or PA lower quality

A

AP is lower quality

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14
Q

in which view is heart magnified

A

AP

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15
Q

are chest Xrays taken on inspiration or expiration

A

inspiration

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16
Q

deeper inspiration show

A

more lung
less haziness
less heart enlargement

17
Q

good inspiration on PA CXR should show what?

A

10-11 posterior ribs

18
Q

a centered image shows

A

medial ends of clavicles equidistant from midline

19
Q

pneumothorax

A

hyperinflated lung on one side
tracheal deviation

20
Q

NG tube on CXR

A

NG descend midline in thorax
sit below diaphragm in gastric bibble

21
Q

gastric bubble

A

radiolucent rounded area under hemidiaphragm

gas in fundus of stomach

22
Q

NG tube cross what

A

diaphragm midline

23
Q

central line position

A

tip of catheter at junction of SVC and RA

24
Q

central line tip too high

A

thrombus risk

25
Q

central line tip too low

A

arrythmia

26
Q

ETT tip

A

5 cm above carina

27
Q

ETT width

A

2/3 of tracheal diameter
cuff not expanding trachea

28
Q

Breathing

A

lungs expanded
normal CPAs
normal hemidiaphragms
normal cardiac borders

29
Q

RLL atelectasis

A

R lower opacification
indistinct heart border
ipsilateral tracheal division

30
Q

LUL atelectatis

A

ipsilateral tracheal deviation
veil-like opacity
obscure L upper heart border

31
Q

RUL atelectasis

A

ipsilateral tracheal deviation
R upper zone opacification

32
Q

lung atelectasis

A

diffuse lung opacification
ipsilateral tracheal deviation

33
Q

bilateral lower lobe atelectasis

A

bilateral lower zone opacification

34
Q

circulation assessment

A

mediastinum
- size
- position
- aortic aneyrusm

35
Q

disability assesment

A

fractures
metastasis

36
Q

exposure assessment

A

subQ emphysema
free air
misc