Chest X Ray Flashcards
what is the first line exam of choice
- Chest radiography
what is the second line exam of choice
- CT/CTA
what is good for soft tissue lesions, cardiac structures
- MR
what is useful for fluid and echos which provides visualization of cardiac function
- ultrasound
what is good for specific vascular interventions
- angiography
which is good for cancer and cardiac function
- nuclear medicine
what views are preferred for CXR
- PA/lateral
what are some limitations of chest radiography
- not for nodules < 1cm
- not for subtle rib fractures
- not for lung cancer screening
what view has the patient standing with the X-ray beam coming from the back and the patient’s chest being against the film
- PA
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
- AP
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
- Lateral
how do you judge lung volumes and what is normal?
- count 9-10 posterior ribs above hemidiphragm
IVC is found at which vertebrae
- T8
Aorta is found at which vertebrae
- T12
esophagus is found at which vertebrae
- T10
if heart width less than hemithorax width
- heart size is normal
if heart width is equal to hemithorax width
- heart size is borderline
if heart width exceeds hemothorax width
- cardiomegaly
what do we use to monitor hemodynamic status
- swan ganz catheter
what do we use to aid us in differentiating cariogenic from noncardiogenic edema via the use of a pressure balloon
- swan ganz catheter
what is the risk of swan Ganz catheter
- pulmonary hemorrhage
- infarct
what is the most common temporary circulatory support device
- intraaortic balloon pump
what is the intraaortic balloon pump used for
- left heart failure
- cariogenic shock
3 leads on pacemaker
- RV
- RA
- coronary sinus
CXR signs for aortic injury
- mediastinal widening
- obscured aortic arch
- deviation of trachea to the right of T4 spinous process
- left apical cap
differential diagnosis of anterior mediastinal mass
- thyroid
- thymoma
- teratoma
- terrible lymphoma
left cardiac border composed of
- LA, LV
right cardiac border composed of
- RA
anterior cardiac border composed of
- RV
posterior cardiac border composed of
- LA, LV
inferior cardiac border composed of
- LV
anatomy to view on chest radiography
- bones
- lungs
- pleural space
- diaphragm
- heart
- mediastinum
BLPDHM
