chest xray Flashcards
1
Q
how do you look at a chest x ray systematically
A
demographics RIPE Airways breathing cardiac diaphragm everything else
for completeness- look at other chest x rays
dont forget apices
2
Q
what investigations would you order with lung cancer
A
chest x ray
CT chest liver abdomen
sputum cytology
biopsy
full blood count
white cells
Us and Es
3
Q
how do you describe the density
A
same density as air/soft tissue/fat/ bone
uniform density or blotchy left or right zone anatomical position (parenchyma, pleural space) size borders
4
Q
what is a feature of consolidation on x ray
A
air bronchograms
blotchy white
5
Q
what are the features of COPD on cxr
A
hyperinflation flat hemi diaphragm decreased lung markings black lesions prominant hilla
6
Q
heart failure features
A
alveolar shadowing b lines cardiomegaly diversion of blood to upper lobe effusion