Chest X Ray Flashcards

1
Q

what is the first line exam of choice

A
  • Chest radiography
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2
Q

what is the second line exam of choice

A
  • CT/CTA
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3
Q

what is good for soft tissue lesions, cardiac structures

A
  • MR
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4
Q

what is useful for fluid and echos which provides visualization of cardiac function

A
  • ultrasound
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5
Q

what is good for specific vascular interventions

A
  • angiography
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6
Q

which is good for cancer and cardiac function

A
  • nuclear medicine
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7
Q

what views are preferred for CXR

A
  • PA/lateral
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8
Q

what are some limitations of chest radiography

A
  • not for nodules < 1cm
  • not for subtle rib fractures
  • not for lung cancer screening
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9
Q

what view has the patient standing with the X-ray beam coming from the back and the patient’s chest being against the film

A
  • PA
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10
Q

what view has the patient supine or seated with the X-ray coming from the front and the patient’s back is against the film

A
  • AP
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11
Q

what view has the patient standing or seated with the beam coming from the right and the film is on the left against the lateral chest way

A
  • Lateral
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12
Q

how do you judge lung volumes and what is normal?

A
  • count 9-10 posterior ribs above hemidiphragm
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13
Q

IVC is found at which vertebrae

A
  • T8
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14
Q

Aorta is found at which vertebrae

A
  • T12
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15
Q

esophagus is found at which vertebrae

A
  • T10
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16
Q

if heart width less than hemithorax width

A
  • heart size is normal
17
Q

if heart width is equal to hemithorax width

A
  • heart size is borderline
18
Q

if heart width exceeds hemothorax width

A
  • cardiomegaly
19
Q

what do we use to monitor hemodynamic status

A
  • swan ganz catheter
20
Q

what do we use to aid us in differentiating cariogenic from noncardiogenic edema via the use of a pressure balloon

A
  • swan ganz catheter
21
Q

what is the risk of swan Ganz catheter

A
  • pulmonary hemorrhage

- infarct

22
Q

what is the most common temporary circulatory support device

A
  • intraaortic balloon pump
23
Q

what is the intraaortic balloon pump used for

A
  • left heart failure

- cariogenic shock

24
Q

3 leads on pacemaker

A
  1. RV
  2. RA
  3. coronary sinus
25
Q

CXR signs for aortic injury

A
  • mediastinal widening
  • obscured aortic arch
  • deviation of trachea to the right of T4 spinous process
  • left apical cap
26
Q

differential diagnosis of anterior mediastinal mass

A
  • thyroid
  • thymoma
  • teratoma
  • terrible lymphoma
27
Q

left cardiac border composed of

A
  • LA, LV
28
Q

right cardiac border composed of

A
  • RA
29
Q

anterior cardiac border composed of

A
  • RV
30
Q

posterior cardiac border composed of

A
  • LA, LV
31
Q

inferior cardiac border composed of

A
  • LV
32
Q

anatomy to view on chest radiography

A
  • bones
  • lungs
  • pleural space
  • diaphragm
  • heart
  • mediastinum

BLPDHM