Part 1 Flashcards

1
Q

If you see an abnormal non skeletal area that you think should be investigated how should you proceed?

A

Special procedures

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2
Q

What are the 3 special procedures ?

A

Ultrasonography (diagnostic ultrasound), contrast media studies, and CT (with or w out contrast)

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3
Q

What are the 5 things that we can see on film (water density outlined by oil density) >

A

Kidneys, spleen, liver, bladder, psoas muscles

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4
Q

What are of the kidneys can we see?

A

Upper, lower poles, and lateral boarders

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5
Q

What part of the spleen can we see?

A

Lower and maybe a little medial broader

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6
Q

What part of the liver can we see?

A

Lower boarder

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7
Q

What part of the bladder can we see?

A

Upper and lateral

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8
Q

What part of the psoas can we see?

A

Lateral borders

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9
Q

What are the 4 causes for non visualization of tissues?>/

A
  1. Blurred from patient motion
  2. Superimposed gas and fecal material
  3. Adjacent fluid
  4. Absence ( congenital or surgical )
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10
Q

What are 2 reasons for structures appearing smaller than normal?

A

Underdeveloped or atrophied

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11
Q

What are reasons for structures appearing larger than normal? (4)

A

Engorged, tumorous or swollen, overdeveloped (compensation probably)

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12
Q

What is the rarest type of habitus ?

A

Hypersthenic

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13
Q

What is the organ positions of someone with a hypersthenic body type?

A

More transverse and highly placed.

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14
Q

What is the second rarest habitus?

A

Asthenic

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15
Q

What is the position of organs/shape of someone with an asthenic type of body?

A

Has a very narrow thorax and abdomen. Most of their gear hangs low into the pelvic region, and their transverse colons and stomachs are often crowded into the pelvic cavity

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16
Q

What is the 2nd most common type of habitus ?

A

Hyposthenic

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17
Q

What is the most common type of habitus?

A

Sthenic

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18
Q

What percent of the population has a sthenic body type?

A

48%

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19
Q

What percent of people have a hyposthenic body type?

A

35%

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20
Q

What percent of ppl have a asthenic body type?

A

12%

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21
Q

What percent of people have a hypersthenic body type?

A

5%

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22
Q

what would find in the RUQ?

A

Liver, right kidney, part of the right psoas muscle, hepatic flexure

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23
Q

What would you find in the LUQ?

A

Spleen, left kidney, part of the right psoas muscle, and splenic flexure,

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24
Q

What would you find in the RLQ> ?

A

Lower part of the right psoas muscle, cecum, and right part of the bladder.

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25
Q

What would you ind in the LLQ?

A

Left part of the bladder and sigmoid colon.

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26
Q

What is a conduits?

A

Track like or tubular have linear streaks

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27
Q

What is the etiology of atherosclerosis of the aorta?

A

Linked to elevated cholesterol and triglycerides but is unknown.

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28
Q

How does atherosclerosis of the aorta appear?

A

2 parallel lines (conduits tracks or tram track appearance).

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29
Q

Is the tract seen in atherosclerosis of the aorta continuous or not?

A

It is usually discontinuous (may be continuous in advanced cases)

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30
Q

What is the normal diameter of the abdominal aorta?

A

1 inch

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31
Q

What age is atherosclerosis of the aorta common?

A

50 and up

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32
Q

A vertebral body on an AP film normally is a little more than ___times bigger than aorta

A

2

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33
Q

How are aneurysms classified?

A

1st by location, 2nd by shape, 3rd is true or false.

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34
Q

What does true mean when talking about abdominal aorta?

A

Dilation of an artery including the intimal layer and false means a dissection causing dilation of the arterial layers.

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35
Q

What % of abdominal aortas demonstrate a calcific rim?

A

75-86%

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36
Q

What are most abdominal aortic aneurysms caused by?

A

Atherosclerosis

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37
Q

What sex, ethnisisty and age are abdominal aortas common?

A

85% dudes, 90% whities, 50 and up

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38
Q

Are most abdominal aortic aneurysims fusiform or saccular?

A

80% fusiform

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39
Q

What spinal location are AAA found?

A

Between the 2nd and 4th lumbars

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40
Q

What blood vessels are AAA found?

A

Renal and common iliac arteries

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41
Q

On an AP film where are AAA found?

A

To the left

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42
Q

__cm usually don’t rupture but 10% of those will?

A

5

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43
Q

__cm usually do rupture, this being the PEAK incident?

A

7

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44
Q

What are 3 changes seen on a radiograph for a AAA?

A

Marked change in location of calcific plaques, soft tissue mass, loss of psoas muscle or kidney shadow

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45
Q

Are anterior vertebral body erosions common in AAA?

A

No dude

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46
Q

If anterior vertebral body calcification is seen in a AAA what is it called?

A

Corticated concave defect

47
Q

Are AAA usually symptomatic ?

A

No, nothing 75% of the time

48
Q

What are symptoms (3) of AAA?

A

Low back pain that may radiate, abdominal pain, flake pain

49
Q

The presence of pain in a AAA is called what?

A

Signals seepage called pending rupture

50
Q

What are clinical findings that may make you suspisous of a AAA?

A

Bruit, palpable (90% of the time) , decrease in pedal pulse

51
Q

Common iliac arteries Atherosclerosis and aneurysms are seen where on the spine?

A

L4- sacrum

52
Q

For a iliac arterie aneurysms what size should it not exceed?

A

1.5 cm

53
Q

Splenic artery atherosclerosis or aneurysms usually present as what/

A

Serpiginous (wavy/tortuous)

54
Q

Splenic artery Aneurysims are usually seen in______over the age of______

A

Dudes, 50

55
Q

If the person is under 50 and has a splenic artery aneurysms they are what?

A

Prob a girl (common in preg)

56
Q

Most splenic artery Aneurysms in females are________?

A

Saccular

57
Q

What sign is usually seen with splenic artery aneurysms ?

A

Rim

58
Q

Where in the spine are renal artery aneurysms found?

A

L1-L3

59
Q

What are calcified venous thrombi?

A

Phleboliths

60
Q

Where are phleboliths commonly seen?

A

Usually close to the pelvic rim below the ischial spines

61
Q

Besides the pelvic rim below the Ishial spines where Elise are phleboliths common?

A

In scrotal veins interior to the symphysis pubis

62
Q

Phleboliths are commonly seen in ______________of soft tissue structures?

A

Hemangioma

63
Q

Should phleboliths be midline?

A

No

64
Q

What can cause phleboliths to shift inferiorly ?

A

Distended bladder

65
Q

_________MOVE_________DONT

A

Stones, phleboliths

66
Q

Where are kidney stones collected?

A

Pelvic-calaceal system

67
Q

What percent of kidney stones can be seen on plain film ?

A

80/90

68
Q

How would you describe kidney stones?

A

Small HOMOGENEOUSLY DENSE STRUCTRES (no lucent centers

69
Q

What are the common shapes of kidney stones?

A

Round, oval, irregular, often with a peak

70
Q

On the lateral film calculi will overlie the spine often over what ?

A

Posterior aspect of the VB

71
Q

What symptom is common in kidney stones?

A

low back pain

72
Q

Urinar calculi that remain in the kidney are usually painful? T or F

A

FALSE

73
Q

When calcium filled the fall es and renal pelvis what is this called?

A

Staghorn calculi

74
Q

What percent of urethral calculi are viable?

A

80-90%

75
Q

What is the shape of urethral calculi?

A

Homogenous and oval

76
Q

What are the normal size of urethral calculi ?

A

1-3cm

77
Q

Where are the 3 locations where urethral calculi most commonly lodge?

A

L1 -l3 paraspinally at the pelvicourethral junction, brim of the pelvis, within 1 in of the ishcal spine superiory at the vesicourethral junction, which is the most common

78
Q

Is passing a stone usually asymtomatic?

A

No

79
Q

___% of urethral calculi pass spontaneously in ____to_____days?

A

93%, 3-4

80
Q

What percent of bladder (vesical) calculi are see on plain film?

A

80=90

81
Q

Bladder are stones are usually large but can be overlooked when______?

A

Smalll

82
Q

Bladder stores are usually what shapes?

A

Round, oval, stellate (jackstone)

83
Q

What is the most common cause for bladder stones?

A

Urinary stasis, or infection

84
Q

In what population are bladder stones seen?

A

98% old white dudes

85
Q

Where are bladder stones usually located?

A

Supra pubic region closer to midline

86
Q

Bladder stone could be found fighter or laterally positioned due to what?

A

Prostatic hypertrophy

87
Q

What position are bladder stores due to prostatic hypertrophy or carcinoma?

A

Superiority

88
Q

How do nephrocalcinosis appear?

A

Small clumps of stippled (punctuate) calcifications in the kidney parenchyma

89
Q

95% of nephrocalcnosis are located where?

A

Medullary

90
Q

5% of neprocalcinosis are located where?

A

Coral

91
Q

Are neprocalcinosis usually unilateral or bilateral, singular or widespread?

A

Bilateral, and wide spread.

92
Q

What percent on gallstones are radiopaque?

A

10-20%

93
Q

Are positive gasstones more common seen that kidney stones especially in chiropractic practice?

A

Yes

94
Q

Are there usually one or multiple gall stores and what is the orientation?

A

Mult, farted, with peripheral rim calfication

95
Q

Old gallstones are often_____?

A

Lamented (like a trees rings)

96
Q

In GB stones lucent internal branding cracks filled with nitrogen gas may be seen, this is called what?

A

Mercedes benz or crow food sign

97
Q

When do you see the Mercedes benz sign?

A

When old BG stones shrink and dehydrate

98
Q

What quadrant would you find GB stones?

A

RUQ

99
Q

On the lateral film are GB stones anterior or posterior to the spine?

A

Anterior

100
Q

Are gallstones usually symptomatic ?

A

No

101
Q

Small GB stones smaller that ___CM can pass easily.

A

5

102
Q

When will the patient feel pain with a gall stone?

A

Recurrent stones, obstruction of duct (cystic duct), perforation of the gab wal with fistula.

103
Q

What are pneumobilia /.

A

Gas in the ducts

104
Q

What is it called if a call stone causes a bowl obstruction ?

A

Gall stone ileus

105
Q

Do most Gb carcinomas have stones?

A

Yes

106
Q

With milk of calcium bile how does the gallbladder appear?

A

Very dense like you’re doing a contrast exam

107
Q

What films help with a milk of calcium bile?

A

Upright

108
Q

What is seen on a upright film looking at milk of calcium bile ?

A

Horizontal fluid level

109
Q

What is the cause of porcelain or petrified GB?

A

Unknown maybe dude to chronic cholecystits

110
Q

What is seen in porcelain GB?

A

Thin linear calficaiton in the muscular wall or submucosal layer of the gb

111
Q

What is the shape of the calcination in porcelain GB?

A

Pear shaped, oval moraine

112
Q

What duct may be obstructive in porcelain GB?

A

Cystic

113
Q

In porcelain GB what is the significance?

A

Carcinoma occur in 20%