Ch. 2-4, 12-14 Positions Flashcards

1
Q

PA chest erect

A

Pleural effusion, pneumothorax, atelectasis, infection. Included are both lungs from spices to costophrenic angles and trachea. Hilium, heart, great vessels, bony thorax.

Center at T7 and midsaggital.

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2
Q

PA chest supine

A

Pleural effusion, pneumothorax, atelectasis, infection.

Center midsaggital at T7.

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3
Q

Lateral chest

A

Pathology posterior to heart, great vessels, sternum. Entire lungs, sternum, ribs.

Midsaggital T7.

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4
Q

AP chest supine

A

Pathology involving lungs, diaphragm and mediastinum. Determines air fluid levels (pleural effusion).

CR caudad to be perpendicular to long axis of sternum.

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5
Q

Lateral decub AP

A

Pleural effusions, air, pneumothorax.

Center to T7.

Horizontal beam shows pneumothorax.

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6
Q

AP lordotic

A

Rule out calcifications and masses beneath clavicles.

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7
Q

RAO LAO chest

A

Pathology involving The lung fields, trachea, and mediastinal structures. Determine the size and contours of the heart and great vessels.

Side of interest is farthest from IR.

Center T7 and midway between thorax and midsaggital plane.

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8
Q

RPO LPO chest

A

Lung fields, trachea, and mediastinal structures.

T7 between thorax and midsaggital place

PO’s best visualize side closest to IR. Lung fields appear shorter on PO’s. heart and great vessels appear larger.

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9
Q

Lateral upper airway

A

Investigate pathology of the airfield the larynx and trachea including the region of the thyroid and thymus glands and upper esophagus. Rule out epiglottis which could be life-threatening for a young child

IR at C6-C7

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10
Q

AP upper airway

A

Pathology of larynx and trachea, including thyroid and thymus glands. Upper esophagus. Look for foreign objects and contrast.

Acanthiomeatal line perpendicular to IR. C1-C2.

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11
Q

AP supine abdomen

A

Bowel obstruction, neoplasms, calcifications, ascites, and scout image for a contrast medium studies.

Center to iliac crest With bottom margin at symphysis pubis.

Outline of liver, spleen, kidneys, spoas muscles, and airfield stomach and bowels segments

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12
Q

PA prone abdomen

A

Bowel obstruction’s, neoplasms, calcifications, ascites, and scout image for contrast medium.

Center CR to iliac crest.

Tall patients may require two images placed portrait and hypersthenic patients may require 2 Images Pl. landscape

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13
Q

Lateral decub AP abdomen

A

Masses, air fluid levels, intraperitoneal air. Patient should lay on side for 5 minutes before taking images.

Left lateral best shows air in liver. Anatomy demonstrated is loops of bowel and air fluid levels.

Center CR 2 in above iliac crest.

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14
Q

AP abdomen erect

A

Masses, air fluid levels, intraperitoneal air under diaphragm.

Center CR 2 in above iliac crest, top of IR at axilla.

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15
Q

Dorsal decub abdomen

A

Aneurysms, calcification, umbilical hernia.

CR level of Iliac crest midcoronal.

Show soft tissue.

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16
Q

Lateral abdomen

A

Soft tissue masses, umbilical hernia, aneurysms, foreign body.

CR iliac crest midcoronal.

Loops of bowel and soft tissue detail. Prevertebral region.

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17
Q

RAO esophagogram

A

Strictures, foreign body, anamolies, neoplasms.

CR T6

18
Q

Lateral esophagogram

A

Strictures, foreign body, anamolies, neoplasms.

CR T6

19
Q

AP esophagogram

A

Strictures, foreign bodies, anomalies, neoplasms.

CR to T5-T6. Entire esophagus full with barium.

20
Q

LAO esophagogram

A

Strictures, foreign bodies, anomalies, neoplasms.

CR to T5-T6.

Esophagus seen between hilar region of lungs and thoracic spine.

21
Q

RAO upper GI

A

Polyps, ulcers, duodenal bulb, c-loop of duodenum.

90-100 double contrast

CR to duodenal bulb level L1. Between spine and upside.

22
Q

PA upper GI

A

Polyps, diverticula, gastritis, bezoars.

Sthenic: L1 (duodenal bulb) and 1 in left of vertebral column.

23
Q

Right lateral upper GI

A

Retrogastric space (space behind stomach)

CR to L1 and 1 in anterior.

24
Q

LPO upper GI

A

When A double contrast technique is used, the air filled pylorus and duodenal bulb better demonstrates signs of gastritis and ulcers.

CR L1 and between midline and left lateral margin.

25
Q

AP upper GI

A

Hiatal hernia.

CR L1.

Partial trendelenburg position may be needed to fill fundus.

26
Q

PA/AP barium enema

A

Ileus, volvulus, intussusception. Double contrast ideal for demonstrating diverticulosis, polyps, mucosal changes.

CR to iliac crest.

Include rectal ampulla at lower margin. For hyperstenic, use 2 plates landscape.

27
Q

RAO barium enema

A

Ileus, volvulus, intussusception. Double barium ideal for demonstrating diverticulosis, polyps, mucosal change.

CR iliac crest, 1 in left of midline. Rectal ampulla included.

Right colic flexure and ascending and sigmoid colon are open without superimposition.

28
Q

LAO barium enema

A

Ileus, volvulus, intussusception. Doubt contrast ideal for diverticulosis, polyps, mucosal changes.

CR 1-2 in above iliac crest.

29
Q

LPO/RPO BE

A

Diverticulosis, polyps, mucosal changes.

CR to iliac crest and 1 in lateral to elevated side.

Include rectal ampulla

30
Q

Lateral rectum BE

A

Polyps, strictures, fistulas. Ventral decub is best for double contrast study.

CR center to ASIS.

REctosigmoid.

31
Q

Right lateral decub BE

A

Polyps of left side.

Side up=interested in.

32
Q

Left lateral decub BE

A

Entire contrast filled large intestine. Polyps of right side.

33
Q

PA postevac

A

Polyps and defects. Mostly as PA.

CR to iliac crest.

34
Q

AP axial BE

A

Polyps in rectosigmoid.

CR 2 in inferior to ASIS.

less overlap than with 90 degree angle.

35
Q

PA axial BE

A

Polyps.

CR to ASIS.

36
Q

AP IVU

A

Calcifications, obstruction, hydronephris, tumor, infection.

CR to iliac crest.

Have patient empty bladder before exam.

37
Q

Nephrotomography IVU

A

Trauma to renal parenchyma.

CR between diploid process and iliac crest.

38
Q

RPO LPO IVU

A

Infection, trauma, obstruction.

CR to iliac crest. 30 degree angle.

39
Q

AP IVU

A

Prone may demonstrate enlarged prostate or prolapse of bladder. Erect position demonstrates nephroptosis

40
Q

AP IVU ureteric compression

A

Pyelonephritis.

CR between diploid process and iliac crest.

41
Q

AP LPO RPO cystography

A

Cystitis, obstruction, vesicoureteral reflux, bladder calculi.

45-60 degree rotation.

CR 2 in superior to symphysis pubis. 15 degree caudad.