Lecture 20: Intro to Radiographic Imaging Flashcards

1
Q

xray

A

plain radiograph

xrays pass through tissue; more or less pass based on density

more dense structures= more white; less dense= less white

radiation!

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2
Q

fluoroscopy

A

moving/continuous xray, often w/ contrast agent

radiation!

i.e. intestine imaging

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3
Q

CT

A

similar to radiograph, but xrays pass through body in 360 directions from rotating source; used to generate slices through tissue

radiation!

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4
Q

CT angiogram/angiogram

A

visualize coronary arteries

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5
Q

why not to do xray on pregnant woman

A

early in preg: can cause teratogens as organogenesis occurs

late in preg: can radiate bone marrow which can cause leukemia/cancers in childhood

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6
Q

MRI

A

uses body’s intrinsic magnetic properties to create image

spinning water hydrogen proteon is mini magent in larger magnet, the MRI scanner

cannot use on pt with metal in body

no radiation!

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7
Q

ultrasound

A

uses high frequency sound waves; different tissue reflect back more/less sound waves which are “detected” by transducter and images are generated

portable, in “real time”

no radiation!

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8
Q

fundamental principle of xray and CT

A

density - whitist to blackist, bone/metal - soft tissue - fat - air

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9
Q

orthogonal projections’ abilities

A

help to localize objects, identify pathology

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10
Q

neumoperitoneum

A

appears as asymmetry in thorax- air in peritoneum

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11
Q

2 parts of anatomy of thoracic cavity

A

pleural cavities, mediastinum

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12
Q

contents of pleural cavities

A

pleura- made up of lfat layer of mesothelial cells and uspporitng tissues
lungs- respiratory organs

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13
Q

2 layers of pleura

A

parietal layer- lines inner surface of chest cavity; visceral layer- covers surface of lungs

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14
Q

pleural reflections-recesses

A

areas of pleural spcae where there’s no visceral pleura/lung between the 2 parietal layers

place where fluid first accumulates

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15
Q

costodiaphragmatic recess (CP angle)

A

largest pleural space, where no visceral pleura/lung between 2 parietal layers, so 2 parietal layers meet; fluid can accumulate here

cannot see costophrenic angle if fluid accumulates

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16
Q

pleural effusion

A

when fluid accumulates in pleural space

pt will present w/ shortness of breath

17
Q

pneumothorax

A

pleural air - air in lung

pt will present w/ acute onset shortness of breath

ie if person gets stabbed

pt’s lung will collapse

18
Q

why lung isn’t collapsed in chest

A

negative interthoracic pressure

19
Q

how to treat pneumothorax

A

chest tube- causes lung to reexpand itself

insert in 2nd intercostal space

20
Q

hydroneumothorax

A

blood and air in thorax because of acute trauma

21
Q

tension pneumothorax

A

air only goes IN- one way communication w/ atmosphere

22
Q

dual blood supply to lungs

A

pulmonary arteries - blood from RA-RV-MPA-Rt and Lt PAs = deoxygenated blood

bronchial arteries- blood from aorta/branches = oxygenated blood

23
Q

pneumonia

A

opacity in lung

pt will present with coughing with sputum, fever, elevated WBC count

24
Q

mediastinum contents

A

thymus, heart in pericardial sac, major vessels, trachea, esophagus, nerves and lymphatics

25
Q

heart position in chest - 3 moves

A

apex points down, forward and to the left

base sits over diaphragm w/ right more forward than left

major vessels enter/exit posteriorly at base

26
Q

heart margins on CXR

A

right heart border- SVC, RA, IVC (NOT RV- HEART IS ROTATED!)

left heart border- aortic arch, pulmonary trunk, LA, LV

27
Q

pericardial effusion can look like

A

an abnormally big heart- cardiomegaly

28
Q

superior mediastinum contains

A

R and L braciocephalic veins

thoracic aorta and major branches

superior vena cava

trachea

esophagus

thymus

phrenic and vagus nerves

left recurrent laryngeal nerve (passes under arch)

29
Q

destocardia

A

heart reversed in chest if heart tube bends wrong way during embryological development

30
Q

at inlet level, how many holes do you see in superior mediastinum

A

5

31
Q

svc syndrome

A

large mass narrows superior vena cava

pt presents with: rapid heart rate; bilateral neck, face, arms swollen

32
Q

pericarditis

A

inflammatory process of pericardium

33
Q

pulmonary embolism

A

blood clots in R and L pulmonary arteries

34
Q

phrenic nerve supplies/root value

A

diaphragm/ C3, 4, 5