Radiologic Evaluation Diagnostics Flashcards

1
Q

ABCs of radiologic analysis

A

Alignment
Bone density
Cartilage spaces
Soft tissues

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2
Q

normal alignment to look at

A

articulation
spatial relationship

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3
Q

abnormal alignment to look at

A

fx
dislocation
subluxation

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4
Q

normal bone density should look like

A

sufficient contrast
bone & soft tissue separation
density within the bone

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5
Q

abnormal bone density to look for

A

loss of bone density
thinning/absence cortical margin

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6
Q

abnormal textural bone density

A

fluffy, thin, delicate, coarsened, smudged

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7
Q

abnormal local bone density changes

A

osteophytes, excessive sclerosis, reactive sclerosis

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8
Q

abnormal cartilage spaces

A

decreased spaces
increased sclerosis, erosion

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9
Q

abnormal soft tissues to look at

A

wasting, swelling of muscles
blurring, displaced fat pads & fat lines
joint capsules distension
observe reactions of periosteum
foreign bodies, gas bubbles radiolucent, calcifications radiopaque of miscellaneous soft tissue findings

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10
Q

errors of observation

A

related to search patterns

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11
Q

errors of interpretations

A

related to poor ability to link clinical presentation to radiologic findings

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12
Q

error reduction

A

interdisciplinary communication, especially with radiologist

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13
Q

monostatic/monoarticular

A

affects only 1 bone/joint

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14
Q

polystotic/polyarticular

A

affects multiple bones/joints

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15
Q

diffuse

A

affects nearly all bones or joints

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16
Q

osteoporosis on radiograph

A

30% reduction in bone mass for detection

17
Q

what is DXA

A

dual-energy x-ray absorptiometry

18
Q

what is the DXA good for

A

best precision with lowest radiation dose

T/L spine & non-dominant hip analyzed by computer

19
Q

t-score for DXA

A

BMD & young matched healthy female compared

20
Q

z-score for DXA

A

BMD & age matched healthy female compared

21
Q

osteoporosis findings

A

cortical thinning
low bone mass
trabecular changes
fx