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Rad positioning extremities > Chest, Abdomen and Ribs > Flashcards

Chest, Abdomen and Ribs Flashcards

1
Q

why do we do chest radiography?

A

to visualize visceral anatomy of chest (heart and lungs)

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2
Q

what kVp is required for chest?

A

high

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3
Q

SID chest radiography

A

72”

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4
Q

routine chest series

A

PA chest

left lateral chest

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5
Q

set up flow

A 
measure
set control panel
set SID
set collimation and apply side marker
apply lead shielding to patient
position patient at bucky
align cassette to patient
align CR to center of cassette
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6
Q

film size PA chest

A

14x17

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7
Q

bucky placement

A

1 1/2” above VP

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8
Q

ID blocker (PA chest)

A

up

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9
Q

CR (PA chest)

A

to spine and mid film

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10
Q

collimate (PA chest)

A

to film size

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11
Q

marker (PA chest)

A

Left above left shoulder

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12
Q

patient instructions (PA chest)

A

roll shoulders forward

deep inspiration adn hold

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13
Q

measure (PA chest)

A

over shoulder, spine to mid sternum

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14
Q

what should you see on PA chest?

A 
tracheal air shadow
aortic knob/arch
cardiophrenic angle
diaphragm
hilum
apex
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15
Q

optimal PA chest criteria

A 
all heart and lung anatomy included
unwanted anatomy out of lungs
no rotation
adequate penetration of structures
upper 4 thoracic vertebrae identified well
adequate inspiration of lung
count 10 posteiror or 7 anterior ribs
lung markings are crisp
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16
Q

SID (L lateral chest)

A

72”

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17
Q

film size (L lateral chest)

A

14x17

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18
Q

bucky location (L lateral chest)

A

1 1/2” above VP

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19
Q

patient position (L lateral chest)

A

left side against bucky, hands over head

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20
Q

CR (L lateral chest)

A

center of film and mid-axillary line

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21
Q

marker (L lateral chest)

A

left marker above left shoulder

22
Q

breathing instructions (L lateral chest)

A

deep inspiration and hold

23
Q

things you should see (L lateral chest)

A 
sternum
heart
right hemidiaphragm
left hemidiaphragm
posterior costophrenic angles superimposed
aortic arch
apices superimposed
24
Q

image criterial (L lateral chest)

A

apices through costophrenic angles visualized and clear
posteior ribs superimposed
IVFs open
sternum in profile

25
Q

abdominal routine series

A

recumbent or upright AP abdomen

26
Q

why do we take a recumbent AP abdomen

A

rule out masses, aneurysm, calcifications, foreign bodies, fetal shadows, bowel gas pattern

27
Q

if an aneurysm is suspected, what must you also take?

A

lateral abdomen

28
Q

why do we take an upright AP abdomen

A

identify free air in abdominal cavity

air fluid levels

29
Q

patient postion for recumbent AP abdomen

A

supine on table bucky

30
Q

film size adn position for recumbent AP abdomen

A

14x17, vertical

31
Q

CR (recumbent)

A

iliac crest

32
Q

breathing instructions for recumbent

A

exhale and hold

33
Q

what do we need to see on a recumbent?

A

bottom of bladder

34
Q

measure for abdomen films

A

largest part of abdomen

35
Q

film size and position (upright)

A

14x17
top of cassette at axilla level
2”above crest

36
Q

what must an upright include?

A

diaphragm

37
Q

breathing instructions (upright)

A

expiration

38
Q

what may we see on upright?

A

chest, diaphragm

meganblas

39
Q

unilateral AP rib SID

A

40”

40
Q

unilateral AP rib cassette

A

14x17 vertical

41
Q

unilateral AP rib, where does injured part go?

A

closest to bucky

42
Q

unilateral AP rib (upper) cassette position

A

top of cassette 1 1/2” above VP

43
Q

unilateral AP rib (lower) cassette position

A

bottom of cassette at crest

44
Q

CR unilateral AP rib

A

CR to mid film

vertical cross hair on other side of sternum

45
Q

unilateral AP rib (upper) breathing

A

inspiration

46
Q

unilateral AP rib (lower)

A

expiration

47
Q

bilateral AP ribs cassette (upper)

A

14x17 transverse

top of cassette 1 1/2” above shoulders

48
Q

bilateral AP ribs cassette (lower)

A

14x17
transverse
bottom of cassette at crest

49
Q

bilateral AP ribs cassette (upper)

A

inspiration

50
Q

bilateral AP ribs cassette (lower)

A

expiration

Rad positioning extremities (8 decks)

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