8.1 The Chest Xray Flashcards

1
Q

What is a radiograph?

A

A digital image or photo of the internal composition of the body, produced by x-rays.

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2
Q

What type of projection is the convention?

A

Posterior to anterior projection

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3
Q

When is anterior to posterior projection used?

A

Patient cannot stand up

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4
Q

Why is AP projection not as accurate?

A

Heart will be enlarged

Lungs are less expanded

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5
Q

In a chest xray what need to be included?

A

1st rib
Lateral margin of ribs
Costophrenic angle

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6
Q

How can you tell if a patient is sitting straight in an x-ray?

A

Spinous process should line up between clavicles

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7
Q

How can you tell if the lungs have been overfilled on an x-ray?

A

Diaphragm will look flat

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8
Q

How can you tell if inspiration is incomplete on an x-ray?

A

Increased lung markings

Heart will be enlarged

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9
Q

What is the ideal filling of the lungs for an x-ray?

A

So the 5th to 7th ribs are at the midclavicular line

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10
Q

What is penetration on an x-ray?

A

The level to which the x-rays have passed through the body

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11
Q

How can you tell if the x-rays have penetrated well enough?

A

Vertebrae are just visible

Complete left hemidiaphragm visible

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12
Q

What is an artefact?

A

External material which obstructs view of the chest eg. hair, buttons, pacemakers

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13
Q

What is a mediastinal shift?

A

Trachea deviates

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14
Q

When might the trachea move towards the problem?

A

Decreased volume or pressure- lung collapse

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15
Q

When might the trachea move away from the problem?

A

Increased volume or pressure- pleural effusion

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16
Q

How is a pneumothorax seen on an x-ray?

A

Pleural edge is visible. Lung markings not visible around edge.

17
Q

How is a pleural effusion seen on an x-ray?

A

Uniform white area
Loss of costo-phrenic angle
Hemidiaphragm obscured

18
Q

How is a lobar lung collapse seen on an x-ray?

A

Shift of mediastinum towards problem
Crowding of ribs
Loss of lung markings in outer chest
Denser lung markings around hilum

19
Q

How is consolidation seen on an x-ray?

A

Dense opacification

Volume may be increased

20
Q

What is the cardiac index?

A

The heart should take up