CXR - COPIED Flashcards
How do you measure the size of the heart from an x-ray?
If the heads of the clavicles aren’t level, what does this mean?
rotation
what could air under the diaphragm be?
perforated intestine
(rem. gastric bubble on the left)
If you can’t see the right edge of the heart then…
possible middle lobe pneumonia
Usually heart sits on diaphragm but with COPD….
maybe air under the heart as diaphragm is flattened.
how could you confirm a pleural effusion?
take a CXR side lying.
if there is consolidation and CAN see the heart outline then…
more likely lower lobe.
Can you see the borders of the heart with pleural effusion?
Can you see through consolidation?
NO
YES
What does pulmonary oedema look like?
a fine mesh of consolidation, it starts with bat wings at the hilum.
Can you see glass on CXR?
nope
Where should the nasogastric tube go?
into the gastric bubble
What is Torsades des Pointes?
- ‘twisting of points’
- focus of VT moves around the myocardium. Appears as a sine wave.
TX: cardioversion + Magnesium
