20: CPR Imaging Flashcards

1
Q

Purpose of continuous wave, pulsed wave Doppler, and color flow Doppler for US

A
  1. Continuous: measures high velocity
  2. Pulsed: assess low velocity
  3. Color flow: asses regurgitation flows, shunts, pulm vein flow
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2
Q

Pt positioning for echocardiogram US

A

Left lateral decubitus

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3
Q

What does MUGA stand for?

A

Multiple gated acquisition scan

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4
Q

Contraindications for MUGA scan?

A

Renal disease, pregnant or breastfeeding

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5
Q

Contraindications for coronary angiography

A

Renal failure, contrast allergy, coagulopathy, uncontrolled HTN, decompensated HF, GI hemorrhage, pregnancy, active infection

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6
Q

Most posterior part of the hear

A

LA

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7
Q

What can LA enlargement cause?

A

Compression of esophagus -> dysphagia and/or left recurrent laryngeal near compression causing hoarseness

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8
Q

How to take AP vs PA CRX

A

AP: pt with back against film plate + XR in front
PA: pt with front to film plate + XR in back

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9
Q

What is important to consider when viewing AP view XR?

A

Mediastinum appears widened due to AP magnification - dont even consider heart size when looking at AP

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10
Q

Most common CXR view

A

PA

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11
Q

How to tell if a CXR is PA or AP

A

Look at medial edges of scapula - in PA view, scapulae dont overlap lungs at all

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12
Q

ABCDEF in CXR

A

Airway, bones, circulation/cardiac, diaphragm, expanded lungs, foreign bodies

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13
Q

What is important to do when evaluating for pleural effusion

A

Do AP/PA and a lateral view - sometimes hard to spot with just an AP/PA view

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14
Q

Pulmonary meniscus sign

A

Meniscus is commonly seen with pleural effusion on CSR, due to surface tension between two different fluids in pleural cavity (nl serous fluid + pleural effusion)

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15
Q

Contraindiations for CTA

A

Renal disease, pregnant women

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16
Q

All pts with what should undergo a renal US?

A

Renal failure of unknown cause

17
Q

Sx of AUR (acute urinary retention)

A

Inability to pass urine, lower abd pain, restlessness, acute AMS in elderly

18
Q

echocardiogram vs Doppler echocardiogram

A

Echo: good for congenital defects, heart size, heart damage
Doppler: good for valve and blood flow issues

19
Q

What does MUGA scan detect?

A

Causes of reduced EF

20
Q

Gold standard to dx CAD?

A

Coronary angiography (cath)

21
Q

Gold standard to dx kidney stones

A

Renal CT

22
Q

Best way to visualize congenital heart defects?

A

Echo

23
Q

Best way to visualize aortic dissection or thoracic aortic aneurysm

A

CTA

24
Q

Best way to visualize a PE

A

Pulmonary angiography, or CTA or V/Q scan