CHEST RADIOGRAPHY Flashcards

1
Q

how is a chest radiograph read?

A
airway
breathing
cardiac
diaphragm
evolving
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2
Q

heart appears larger in what film, AP, PA?

A

A-P film

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3
Q

normal lung parenchyma appears?

A

dark

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4
Q

lungs appose, laterally, medially, inferiorly?

A

chest wall
heart and mediastinum
diaphragm and costophrenic angles

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5
Q

what are the infiltrates due to?

A
alveolar collapse
fluid
infection
tumor
injury/trauma/blood
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6
Q

what are the differential diagnosis of diffuse, bilateral infiltrates?

A

cardiogenic
non-cariogenic
diffuse infection

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7
Q

transudative effusions?

A

high hydrostatic pressure
and/or
low oncotic pressure

*left ventricular failure, nephrotic syndrome, cirrhosis with ascites

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8
Q

exudative effusions?

A

infection, tumor, cytokines

*bacterial infection

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9
Q

this is a collection of purulent material in the pleural cavity, associated with pneumonia and starts wit exudate, bacterial colonization, fibrosis, and lung restriction?

A

empyema

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10
Q
shortness of breath
chest pain
decreased breath sounds
large effusion
systemic signs of inflammation

what is this?

A

pleural effusion

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11
Q

how would you treat pleural effusion secondary to heart failure?

A

diuresis

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12
Q

pleural effusion management can be drained how?

A
thoracentesis
pigtail catheter drainage
chest tube placement
pleurodesis
VATS
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13
Q

etiologies of lung collapse?

A

tumors
secretions
infection
foreign body aspiration

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14
Q

shortness of breath
hypoxemia
no air excursion with inspiration
decreased breath sounds

what is this?

A

lung collapse

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15
Q

primary spontaneous pneumothorax occurs in healthy patients, T/F?

A

true

males
10-40 yr
thin
smoking

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16
Q

this is the most common cause of secondary spont PTX?

A

COPD

17
Q

what is this?

dyspnea and tachypnea
chest pain
hypoxemia
tachycardia
decreased breath sounds on affects side
A

pneumothorax

18
Q

what should make you suspect a pneumothorax?

A

decreased or absent breath sounds

19
Q

tension pneumothorax emergency tx?

A

midclavicular line, insert needle 2nd intercostal space