LEC 10 - Thorax Flashcards

1
Q

What can be normal variations in thorax radiographs, that can look like issues? (three)

A

Breed + Age + Body conformation

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2
Q

What is the gold standard for looking at chest?

A

CT

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3
Q

What is the down side to doing a CT that would make xrays a better option?

A

Don’t need anesthesia

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4
Q

In what two places is the mediastinum reflected?

A

Caudal vena cava
– and –
Trachea

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5
Q

What variations can be seen when a thoracic xray is taken on expiration?

A

Increased lung opacity
– and –
Increased heart size

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6
Q

What are four reason an animal might have decreased insipiration?

A

Pleural effusion
Anesthesia
Body confirmation
Painful

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7
Q

What appearance does a hypoinflated lung look like?

A

Due to increased thickness will have an increased opacity

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8
Q

Why is it good to take laterals on both the left and right side?

A

Better evaluation of the middle lung lobe region

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9
Q

What part of the chest is the widest?

A

Dorsal

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10
Q

What does it mean when a section of the chest is not “egg shaped”?

A

Increased expansion of the chest

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11
Q

What are typical things seen when pneumothorax is present?

A

Retraction of the lungs

Clear border at dorsal, caudal lung lobe and diaphragm

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12
Q

Where does air tend to go?

A

The widest part of the chest

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13
Q

What view is the worst to see pneumothorax?

A

V/D

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14
Q

What should be done instead of a VD xray in a dog that has pneumothorax?

A

DV

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15
Q

What view should be done on a dog with pleural effusion?

A

VD

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16
Q

What is pleural effusion?

A

The same as pneumothorax except not a fluid is present instead of air

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17
Q

Where does fluid tend to go when in the thorax?

A

With gravity, goes down

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18
Q

What do you need to be careful doing with a patient with pleural effusion when taking xrays?

A

if taking VD fluid will collect around heart, impeding blood flow. Cloud be very dangerous for patient

19
Q

How can you tell if a megaesophagus is transient or not?

A

When taking another view esophagus will look normal

20
Q

What dogs tend to get laryngeal paralysis?

A

Labs + Goldens + Rotties + Yorkies

21
Q

What are dogs with laryngeal paralysis at risk for?

A

Heat stroke

Hard time panting so can’t cool off

22
Q

What happens with laryngeal paralysis?

A

Adduction of folds, not opening back up

Causes an obstruction

23
Q

What are the four parts to the upper airway?

A

Pharyngeal
Laryngeal
Tracheal
Brochial

24
Q

What dogs tend to get a collapsed larynx? What should be done to prevent it?

A

Brachycephalic dogs

Fix stenotic nares ASAP

25
What occurs with a collapsed larynx?
With expiration sacules are open | With inspiration saccules block airway
26
Is laryngeal collapse dynamic or static?
Dynamic
27
What are signs on an x-ray that a dog is working hard to breath?
Abdomen is sucked in | Ventral chest is pushed out
28
When is it good to do a lateral neck?
When chest xray is taken and nothing is seen that could be causing the problem To see: Larynx + Pharynx + Cervical trachea
29
What is the 5 view thorax?
``` V/D chest RT lateral LT lateral Neck lateral Expiration ```
30
Why should you take an expiratory and inspiratory xray?
to see any dynamic disease that might be occurring
31
What is the difference between tracheal collapse and large airway collapse?
Large airway collapse involves the trachea and principal bronchi as well
32
What changes occur naturally in the chest with older patients?
``` Increased lung opacity Mineralized costal cartilages Spondylosis Heart orientation Pleural fibrosis ```
33
What changes occur naturally in the chest with fat patients?
Increased lung opacity Increased heart size Increased width of mediastinum Increased pleural space
34
What is a common variation seen in the chest of dachsunds and greyhounds?
Big Hearts
35
What is a common variation seen in the chest of collies?
Heterotropic bone
36
What is a common variation seen in the chest of brachycephalic dogs?
Small trachea -- and -- Large heart
37
What are two special xray views that can be done on the chest?
Humanoid -- and -- Horizontal beam
38
Why is a horizontal beam xray good?
Gravity doesn't effect lateral view
39
What condition can be seen readily with a horizontal beam xray?
Pneumothorax -- and -- Scapular lesions
40
What is a humanoid xray?
Front legs are pulled down to sides instead of over the head
41
What are humanoid xray's good for seeing?
Cranial thorax Lung First 2 to 3 ribs
42
When is a 3-view thorax good?
Basic set for pneumonia, met check, etc.
43
When is a 5-view thorax good?
Dyspenic + coughing patients