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Part 4 Boards X-ray > LAteral Lumbar > Flashcards

LAteral Lumbar Flashcards

1
Q

Check soft tissue in front of the vertebral bodies

A

Abdominal aorta

Renal artery

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2
Q

Most common location for an aortic aneurysm

A

Distal to the renal arteries (L2-4)

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3
Q

AAA

A

More than 1/2 width of vertebral body

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4
Q

Normal abdominal aorta can measure up to 3.8 cm if

A

Calcified atherosclerosis

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5
Q

If larger than the VB

A

AAA

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6
Q

Radiographic signs abdominal aorta

A

Aortic dilation
Curvilinear calcification
Fusiform appearance

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7
Q

Special test Abdominal aorta

A

Doppler
Diagnostic ultrasound
Ultrasonography
CT

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8
Q

Case management abdominal aorta

A

Refer to cardiovascular specialist

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9
Q

Small aneurysm

A

May produce no signs

Refer to cardiologist

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10
Q

Tearing pain, deep rebounding pain, sudden onset LBP, deep/boring pain in abdomen

A

Shock
Refer immediate surgery
ER

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11
Q

Renal artery

A

Most commonly found at L2

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12
Q

Calcification renal artery

A

Cheerio sign smaller than L2

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13
Q

Renal artery aneurysm

A

Cheerio sign larger than L2

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14
Q

Check front of VB

A

Avulsion/compression fx
AS marg syndesmophytes
Lipping/spurring - DJD, inflammation
DISH disc presence

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15
Q

Check alterations of color and shape

A

Shape PFC

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16
Q

Draw a line along ant body

Does fragment cross line

A 
Yes = avulsion fx
No = limbus bone
17
Q

Check disc spaces and endplates

A

Disc still presents DISH etc

18
Q

Check posterior bodies, pedicles, facets and pars

A

Spondylolisthesis

19
Q

Slippage of the VB with or without fracture

A

Spondylolisthesis

20
Q

Type 1 dysplastic spondylolisthesis

A

Congenital anomaly causes anterior slippage

21
Q

Type 2 isthmic spondylolisthesis aka spondylolytic spondylolisthesis

A

Break through the pars

22
Q

Type 3 degenerative spondylolisthesis aka non-spondylolytic spondylolisthesis

A

DJD of facets

Advanced OA

23
Q

Type 4 traumatic spondylolisthesis

A

Break through the pedicles - hangman’s fx

24
Q

Type 5 pathological spondylolisthesis

A

Obvious pathology on that segment

25
Q

Meyerding’s grading system

A 
Take VB and divide it into quarters
Grade 1 = 1-25% slippage
Grade 2 = 26-50% slippage
Grade 3 = 51-75% slippage
Grade 4 = 76-100% slippage
26
Q

Inverted napolean hat sign aka

A

Bowline of brailsford

Gendarme hat

27
Q

X-rays spondylolisthesis napolean hat

A

Flexion/extension/oblique x-rays

28
Q

Special tests spondylolisthesis

A

SPECT test

29
Q

Case management spondylolisthesis

A

If stable, conservative chiro care and postural rehab

30
Q

If L5 slips >100% dropped in front of sacrum

A

Spondyloptosis

Part 4 Boards X-ray (22 decks)

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