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3MB Buzzwords > CLASP - anatomy and radiology > Flashcards

CLASP - anatomy and radiology Flashcards

1
Q

I 8 10 EGGs AAT 12

A

I 8: IVC at T8
10 EGGs: EsophaGus and vaGus at T10
AAT 12: Aorta, Azygos, and Thoracic duct at T12

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1
Q
A

Left transverse process L3

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2
Q
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3rd ventricle

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3
Q
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Aortic arch

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4
Q
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Coeliac axis

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5
Q
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Portal vein

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6
Q
A

T12 vertebral body

Start counting from down to up

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7
Q
A

Left common iliac artery

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8
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A

Frontal bone

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9
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Left MCA territory infarct

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10
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Right kidney

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11
Q
A

Pulmonary Trunk

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12
Q
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Left oblique fissure

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13
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Falx

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14
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L2/3 intervertebral disk space

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15
Q
A

Posterior left 6th rib

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16
Q
A

Corpus callosum

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17
Q
A

Gall stone and cholecystitis

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18
Q
A

Fracture left lower rib posteriorly and bilateral lower lobe consolidation

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19
Q
A

Left ventricle

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20
Q
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Suprasellar cistern

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21
Q
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Sternum

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22
Q
A

Left acute on chronic subdural haematoma

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23
Q
A

Gall bladder

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24
Q
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Ascending aorta

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25
Q
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Right MCa territory infarct

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26
Q
A

Stomach

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27
Q
A

Dilated common bile duct

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28
Q
A

IVC

29
Q
A

Pancreas

30
Q
A

Left lower lobe collapse and effusion

31
Q
A

Right frontal lobe

32
Q
A

Pons

33
Q
A

SVC

34
Q
A

Right cerebral intra-parenchymal haematoma and midline shift

35
Q
A

Right middle lobe

36
Q
A

Left cerebellar hemisphere

37
Q
A

Body of C2

38
Q
A

Left adrenal gland

39
Q
A

Right pleural effusion and PE in right main pulmonary artery

40
Q
A

Left subclavian artery

41
Q
A

Splenic laceration and free fluid

42
Q

Complete opacification of a hemithorax with a shift of the mediastinum toward the opacity

A

Loss of volume

43
Q

Juxtaphrenic peak (Kattan sign)

A

Right upper lobe collaps

44
Q

What would you see on an x-ray if there is selective intubation of the left main bronchus?

A

Right lung collapse

45
Q

Large pleural effusions can push the trachea towards/away the diseased side

A

Away

46
Q

Shadowing in the right lower zone with loss of the right hemidiaphragm

A

Right lower lobe

47
Q

Reduced definition of the right heart border is typically associated with ___________ consolidation

A

Right middle lobe

48
Q

Reduced definition of the left heart border is typically associated with _________ consolidation

A

Lingular

49
Q

Pushing of the trachea: ?

A

Large pleural effusion or tension pneumothorax

50
Q

Pulling of the trachea: ?

A

Consolidation with associated lobar collapse

51
Q

Bilateral symmetrical enlargement on a CXR is typically associated with..

A

Sarcoidosis

52
Q

Unilateral/asymmetrical hilar enlargement may be due to..

A

Malignancy

53
Q

The pleura are not usually visible in healthy individuals. If the pleura are visible it indicates the presence of..

A

Mesothelioma (pleural thickening)

54
Q

The _______ makes up most of the right heart border

A

Right atrium

55
Q

The ________ makes up most of the left heart border

A

Left ventricle

56
Q

____________ can indicate the presence of fluid or consolidation in the area

A

Costophrenic blunting

57
Q

Costophrenic blunting can develop secondary to lung hyperinflation as a result of diaphragmatic flattening and subsequent loss of the acute angle due to…

A

COPD

58
Q

Loss of aortopulmonary window occurs as a result of..

A

Mediastinal lymphadenopathy (e.g. malignancy)

59
Q

Oblique fissure pulled up + Kattan

A

RUL collapse

60
Q

Oblique fissure pulled down + right border of heart obscured

A

RML collapse

61
Q

Oblique fissure pulled down + right border of heart NOT obscured

A

RLL collapse

62
Q

Triangular opacity on the left side of the lower lung

A

LLL collapse

63
Q

Luftsichel sign

A

LUL collapse

64
Q
A

Pneumoperitoneum - perforation (peptic ulcer, diverticulitis etc)

65
Q

Criteria for correct NG tube placement

A

CXR view is adequate (upper oesophagus down to below the diaphragm)

NG tube remains in the midline down to the level of the diaphragm

NG tube bisects the carina

Tip of the NG tube is clearly visible and below the left hemidiaphragm

Tip of the NG tube is 10 cm beyond the GOJ and therefore is likely to be within the stomach (pH <5)

66
Q

Imagie quality interpretation RIPE

A

RIPE

Rotation - medial aspect of each clavicle should be equidistant from the spinous processes. Spinous processes should also be vertically aligned

Inspiration - 5-6 anterior ribs, lung apices, both costophrenic angles and the lateral rib edges should be visible

Projection - if the scapulae are not projected within the chest, it’s PA)

Exposure - left hemidiaphragm should be visible to the spine, and the vertebrae should be visible behind the heart

67
Q

ABCDE approach

A

Airway: trachea, carina, bronchi and hilar structures
Breathing: lungs and pleura
Cardiac: heart size and borders
Diaphragm: including assessment of costophrenic angles
Everything else: mediastinal contours, bones, soft tissues, tubes, valves, pacemakers and review areas

68
Q

CXR findings in HF

A

A: alveolar oedema (perihilar/bat-wing opacification)

B: Kerley B lines

C: cardiomegaly (cardiothoracic ratio >50%) – may be difficult to assess on an AP film

D: dilated upper lobe vessels

E: effusions (i.e. pleural effusions – blunted costophrenic angles with meniscus sign)

69
Q

Hyperinflated lung
Bilateral symmetrical Attenuated pulmonary vasculature
Long tubular heart
Flattening of diaphragm

A

COPD

70
Q

Bilateral infiltrates and air bronchograms with a perihilar distribution

A

PCP - HIV

3MB Buzzwords (13 decks)

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