Practical-Ribs/Chest/Abdomen Flashcards
RIBS – AP UPPER to demonstrate the RIGHT or LEFT side
Posture: Back of hands on hips and shoulders rolled forward , lift chin
CP: Midway between the MSP and the outer margin of the thorax, 4” below jugular notch
Collimation: Includes C7, open all the way down, light from spine to lateral margin
SID: 180
Breathing: Deep inspiration
Notes: Hands out of light
CHEST – STRETCHER AP SEMI ERECT
Posture: Back of hands on hips and shoulders rolled forward, lift chin, push pt. right against IR
CR: Match to sternum angle or IR angle -5°
CP: MSP, 4” below the jugular notch, Line laser up with center of IR
Collimation: Includes C7 (2” above shoulders), open to length of IR, light to lateral margin
Breathing: Suspend after 2nd full inspiration
SID: Max SID achievable (bring tube up all the way, then move away until centered)
Notes: arrow sideways, no grid needed, ensure light isn’t off IR
ABDOMEN – AP UPPER DIAPHRAGM
Posture: Erect
CP: MSP at level of xiphoid
Collimation: light to side of soft tissue, 4” above and below center
Breathing: Expiration
SID:100
CHEST – DECUBITUS on stretcher to demonstrate hemothorax in RIGHT or LEFT lung
Posture: PA or AP, Lying on side, bent legs, arms above head, Bucky right against pt., chin out of light, Right side up for hemothorax in left, Left side up for hemothorax in right
CP: Place the pts. shoulder 2” medial to bucky, AP: MSP and 4” below jugular notch, PA: midline at level of T7
Collimation: C7 in light open all the way down , light on stretcher and on Bucky
Breathing: Suspend after 2nd full inspiration
SID: 180cm
Notes: Leave pt. in position for 5 min, arrow up, pillow out of light, line up Bucky and tube then pump up stretcher, watch rails, white part of IR at foot end
STERNUM – LATERAL
Posture: Left, no leaning (spine parallel to IR), hands behind back and shoulders REALLY rolled back (chest stuck out)
CP: Midway between jugular notch and xiphoid
Collimation: 1” above jugular notch and 1” below xiphoid (center AP first), angle collimator to match sternum
SID: 180cm
Breathing: Deep inspiration
STERNOCLAVICULAR JOINTS – PA Oblique to demonstrate the RIGHT or LEFT side
Posture: RAO 30°- 40° demos right, LAO 30°- 40° demos left, ensure jugular notch in front of spine
CP: 2” lateral to MSP on raised side at level of Jugular notch (center with pt. AP first), CR going through SC joint
Collimation: light to spine, small square
SID: 100cm
Breathing: Suspend respiration
Notes: Use R marker only when demos right, Use L marker only when demos left
CHEST – PA
Posture: Back of hands on hips and shoulders rolled forward (touching Bucky), lift chin
CP: MSP at T7 (apex of scapula)
Collimation: Includes C7 (2” above shoulders), open all the way down, light to lateral margin
SID: 180cm
Breathing: 2nd full inspiration
SOFT TISSUE NECK – AP
Posture: AML (line from acanthion to EAM) perp to the IR
CP: 1” above jugular notch
Collimation: Top of light at the symphysis menti (tip of chin), light to Carina (armpit), lateral to soft neck tissue
Breathing: Slow deep inspiration
SID: 100cm
RIBS – AP BILATERAL LOWER
Posture: Supine, arms at sides out of light
CP: MSP between T8 (2” above xiphoid) and iliac crest
Collimation: 2” above xiphoid process to iliac crest, light to lateral borders (open all the way)
Breathing: Expiration
SID: 100cm
ABDOMEN – LT. LATERAL DECUBITUS on stretcher
Posture: Bent legs, PA or AP, arms above head, Bucky right against pt.
CP: MSP, 2” superior to the iliac crest
Collimation: 2” above xiphoid (line up xiphoid with bucky), open light all the way up and down, light on stretcher and bucky
Breathing: Expiration
SID: 100cm
Notes: Leave pt. in position for 5 mins, arrow up
STERNUM – OBLIQUE
Posture: RAO 30°- 40° (move sternum off spine)
CP: 2” left of the midline (on raised side) and midway between jugular notch and xiphoid (center with pt. AP first)
Collimation: 1” above jugular notch and 1” below xiphoid, right edge of light to spine
SID: 100cm
Breathing: Shallow breathing
CHEST – AP LORDOTIC
Posture: Sit or Stand the patient 1 ft from the bucky, lean back and rest shoulders against bucky, roll shoulder forward, spine straight
CP: Top of IR 3” above shoulders, mid sternum
Collimation: C7 in light open down to above crest (collimate), light to lateral margins
Breathing: 2nd full inspiration
SID: 180cm
SOFT TISSUE NECK – LATERAL FOR UPPER AIRWAY
Posture: AML (line from acanthion to EAM) parallel to the floor
CP: level of C5 (thyroid cartilage), where chin and neck meet
Collimation: Light from nasion (just below eyebrow) to jugular notch, entire nasal cavity, not all of neck
Breathing: Slow deep inspiration
SID: 180cm
RIBS – AP LOWER to demonstrate RIGHT or LEFT side
Posture: Supine, arms at sides out of light
CP: Midway between the MSP and the outer margin of the thorax between T8 (2” above xiphoid) and iliac crest
Collimation: 2” above xiphoid process to iliac crest, light from MSP (past belly button) to lateral border
Breathing: Expiration
SID: 100cm
ABDOMEN – AP ERECT/ ABDOMEN – PA ERECT
CP: 2” superior to the iliac crests
Collimation: 2” above xiphoid, open light all the way up and down, light to lateral borders
Breathing: Expiration
SID: 100cm
Notes: Leave pt. in position for 5 mins, arrow up
CHEST – LATERAL
Posture: Left, no leaning- hip and shoulder not touching at same time (MSP parallel to IR), arms raised above head and forward holding pole
CP: MCP, 1” below T7 (apex of scapula)
Collimation: Include anterior posterior aspects, Open all the way up and down
Breathing: 2nd full inspiration
SID: 180cm
Notes: Lower Bucky 1” from height used with PA, C7 not on
BLADDER – AP
Posture: Supine
CP: MSP, 2” superior to pubic symphysis (greater trochanter)
Collimation: ASIS to pubic symphysis, Side to side to ASIS
Breathing: Expiration
SID:100
RIBS – AP UPPER BILATERAL
Posture: Back of hands on hips and shoulders rolled forward
CP: MSP, 4” below jugular notch
Collimation: Includes C7, open all the way down, light to lateral margin
SID: 180cm
Breathing: Deep inspiration
Notes: L and R marker, Hands out of light
RIBS – PA UPPER to demonstrate the RIGHT or LEFT side
Posture: Back of hands on hips and shoulders rolled forward, lift chin
CP: Midway between the MSP and the outer margin of the thorax at T7 (apex of scapula)
Collimation: Includes C7, open all the way down, light from spine to lateral margin
SID: 180
Breathing: Deep inspiration
Notes: Hands out of light
STERNOCLAVICULAR JOINTS – PA
Posture: Erect
CP: MSP at jugular notch (center with pt. AP first)
Collimation: L and R to SC joints, small square
SID: 100cm
Breathing: Suspend respiration
Notes: L and R marker
RIBS – PA UPPER BILATERAL
Posture: Back of hands on hips and shoulders rolled forward
CP: MSP, T7 (apex of scapula)
Collimation: Includes C7, open all the way down, light to lateral margin
SID: 180cm
Breathing: Deep inspiration
Notes: L and R marker, Hands out of light
ABDOMEN – LT. LATERAL DECUBITUS on table
Posture: Bent legs, PA or AP, arms above head, IR right against pt.
CP: MSP, 2” superior to the iliac crest, centred to grid
Collimation: 2” above xiphoid (line up xiphoid with IR then move light), open light all the way up and down, light on table and IR
Breathing: Expiration
SID: 100cm
Notes: Leave pt. in position for 5 mins, arrow up, grid
RIBS – PA OBLIQUE UPPER to demonstrate RIGHT or LEFT side
Posture: RAO 45° demos left side, LAO 45° demos right side, raise arm of affected side and place on bucky
CP: Level of T7 (apex of scapula), midway between lateral margin and spine
Collimation: Includes C7, lateral portion of ribs, light from spine to lateral borders
Breathing: Deep inspiration
SID: 180cm
CHEST – DECUBITUS on table to demonstrate pneumothorax in RIGHT or LEFT lung
Posture: PA or AP, Lying on side, bent legs, arms above head, IR right against pt., chin out of light, Right side up for pneumothorax in right, Left side up for pneumothorax in left
CP: Place the IR 2” above shoulders and move light to top of IR, AP: MSP and 4” below jugular notch, PA: midline at level of T7
Collimation: C7 in light open all the way down , light on mat and on IR
Breathing: Suspend after 2nd full inspiration
SID: 180cm (as far as you can get), move pt. to back of table and move table back
Notes: Leave pt. in position for 5 min, arrow up, pillow out of light, white part of IR at foot end
