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

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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

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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
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4
Q

what is a feature of consolidation on x ray

A

air bronchograms

blotchy white

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5
Q

what are the features of COPD on cxr

A
hyperinflation 
flat hemi diaphragm 
decreased lung markings
black lesions 
prominant hilla
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6
Q

heart failure features

A
alveolar shadowing 
b lines
cardiomegaly 
diversion of blood to upper lobe 
effusion
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