Exam 1 Flashcards
Impressions/Diagnosis
listed numerically in order of clinical significance. brief short statements
Findings
written description of what you see in full sentence paragraph. Utilizing ABCS
Odontoid Mach Affect
Looks like a transverse fracture
Diagnosis: Burst (bursting) Fracture
Finding:
Lateral mass of atlas sits over the margin of C2 on both sides in A-P open mouth film. (four fractures)
Cervical films are taking at either 72” or 40”. Which are the only two that are taking at 72”?
(Any film taken where there is an airgap between the patient and the film)
Lateral Cervical and Oblique Cervical
On lateral cervical films we should be able to draw a line from the Clivus to:
Harris’ Ring
Uncinate should not project superiorly beyond which part of the segment above?
Inferior margin (would indicate arthritic changes)
Oblique films are named by:
The patient’s position against the box
The ideal oblique film is which?
Anterior oblique for cervical (want to shoot into the concavity of the curve and the x-ray diverges)
Anterior recumbent for lumber
Primary anatomy desired to see in Oblique film?
Pedicles and IVF: Cervical
Scotty Dog: Lumbar
CAOS
Cervical anterior oblique same side
2 things that can narrow IVF in cervicals
uncinate, superior articular process
Cervical IVF is seen on:
Thoracic/Lumber IVF is seen on:
Oblique
Lateral
If we cannot see T1 what should we name the vertabra that we think is T6 on the exam
mid thoracic
Diagnosis/ Impression: Arthritic Changes
Findings:
Example.. Decreased in body height. Loss of definition of superior cortico bone and increased whiteness on anterior portion.
Oblique Lumber Point of Interest
Scotty Dog
Oblique Lumbar Patient Position
Anterior recumbent
Scotty Dog Eyes
pedicle
scotty dog ear
superior articular facet
scotty dog nose
transverse process
scotty dog neck
pars interarticularis
scotty dog body
lamina