Positioning Flashcards

1
Q

standard projections for a hand radiograph?

A

Dorsipalmar and oblique

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2
Q

centring point for a DP hand radiograph

A

3rd metacarpal-phalangeal joint

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3
Q

centring point for an oblique hand radiograph

A

centre over the head of the 5th metacarpal, angle tube to have central ray through the head of the third metacarpal

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4
Q

what anatomy to include for a hand radiograph

A

distal phalanges and soft tissue, lateral soft tissue, distal end of radius and ulna

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5
Q

standard projections for a finger radiograph

A

DP and lateral

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6
Q

centring point for a DP finger

A

centre over the proximal interphalangeal joint of the affected finger

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7
Q

what to include in a DP finger radiograph

A

include the affected finger and one adjacent finger, distal phalanges and soft tissue, distal 1/3 of metacarpals, lateral soft tissue

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8
Q

centring point for a lateral finger radiograph

A

centre beam over the PIP of the affected finger

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9
Q

standard projections for a wrist radiograph

A

a PA and lateral view

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10
Q

centring point for a PA wrist radiograph

A

centre beam midway b/w the ulnar and radial styloid processes

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11
Q

centring point for a lateral wrist radiograph

A

styloid process of the radius

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12
Q

anatomy to include for a wrist radiograph

A

include the proximal 2/3 of the metacarpals, the soft tissue laterally, the distal 1/3 of radius and ulna

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13
Q

what considerations must be made when moving from the PA wrist position to the lateral?

A

rotate the UL by the humerus so that the radius also moves, provides a new view of the ulna

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14
Q

what are the standard projections for radiograph of the forearm?

A

AP and lateral

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15
Q

what is the centring point for an AP forearm

A

centre the beam midway between the elbow and wrist joints

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16
Q

what is the centring point for the lateral forearm?

A

midway between the elbow and wrist joints

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17
Q

anatomy to include for a forearm radiograph?

A

include the wrist joint distally, elbow joint proximally, lateral soft tissues

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18
Q

standard projections for an elbow radiograph?

A

AP and lateral

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19
Q

centring point for an AP elbow

A

centre 2.5cm distal to the medial and lateral epicondyles in the midline

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20
Q

anatomy to include for an AP elbow

A

include the distal 1/3 of the humerus, the proximal 1/3 of radius, soft tissue laterally

21
Q

centring point for a lateral elbow radiograph?

A

the lateral epicondyle of the humerus

22
Q

standard projections for a humerus radiograph?

A

AP and lateral

23
Q

Centring point for an AP humerus

A

midway between the elbow and the glenohumeral joint

24
Q

anatomy to include for a humerus radiograph

A

elbow joint distally, glenohumeral joint proximally, lateral skin margins

25
Q

centring point for a lateral humerus radiograph

A

midway between the elbow and glenohumeral joint

26
Q

standard projections for a shoulder radiograph

A

AP, Y (lateral projection), superoinferior projection

27
Q

how many degrees do you rotate patient for an AP shoulder?

A

rotate 15 degrees towards affected side

28
Q

centring point for AP shoulder

A

coracoid process (2cm inferior to it)

29
Q

what must you ensure for a y projection of shoulder

A

hand on tummy or back, medial and lateral borders of the scapula superimposed

30
Q

centring point for y projection of the shoulder

A

centre to the glenohumeral joint

31
Q

centring point for supero-inferior shoulder

A

centre of the glenohumeral joint

32
Q

standard projections for tibia and fibula

A

AP and lateral

33
Q

centring point for AP tib/fib

A

midshaft of the tibia

34
Q

centring point for lateral tib/fib

A

midshaft of tibia

35
Q

anatomy to include for a tib/fib radiograph

A

knee and ankle joints, lateral soft tissue

36
Q

standard projections for radiograph of the foot

A

DP, DPO and lateral for ? foreign body

37
Q

centring point for DP foot?

A

b/w cuboid/navicular joint (midways b/w palpable tuberosity of 5th metatarsal and navicular tuberosity)

38
Q

angulation for DP foot radiograph?

A

place detector on a 15 degree foam pad to aid positioning, use vertical x-ray tube
detector parallel to table, angle tube cranially 15 degrees

39
Q

degree and direction of rotation in a DPO foot radiograph

A

lean affected foot medially so the plantar aspect of the foot is 30-45 degrees from the detector

40
Q

centring point for DPO foot

A

centre over the cuboid-navicular joint

41
Q

lateral radiograph of foot centring point

A

centre over the point of entry if ? foreign body, if whole foot to be examined, centre over the navicular cuneiform joint

42
Q

essential image characteristics of a foot radiograph

A

medial and lateral malleoli, tarsal, metatarsal bones, phalanges (prox, middle, distal), skin margins

43
Q

standard projections of toes

A

DP and oblique

44
Q

centring point for DP projection of toes

A

centre over the MTPJ of the affected toe, collimate to include the adjacent toe

45
Q

describe DP to DPO toes

A

medially lean foot so plantar aspect 45 degrees to the receptor.

46
Q

lateral great toe radiograph centring point

A

centre over the MTPJ

47
Q

standard views for a scapula radiograph

A

AP and lateral

48
Q

describe positioning and centring point for AP scapula

A

Patient’s back to Bucky, rotate 15 degrees towards affected side.
centre b/w inferior and superior border of the scapula at the midclavicular line
collimate to include the whole scapula and a bit of the glenohumeral joint

49
Q

describe positioning and centring point for a lateral scapula

A

patient faces bucky, affected hand across chest, scapula parallel to the detector (body about 50 degrees from detector)
centre over middle of medial border of the scapula