Radiology Flashcards

1
Q

Xrays discovered by ____ in ____

A

Roentgen, 1895

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2
Q
Xray principles
fixed or moving source?
curved or straight beam?
moving or fixed receptor?
length of exposure?
how the image is created
A
  • fixed source
  • straight “xray beam”
  • fixed receptor
  • momentary exposure
  • image = blocked xrays
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3
Q

Interactions of xray waves

A
  • reflection
  • refraction
  • absorption
  • scatter
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4
Q

blocked xrays = ____

A

brighter image = RADIOPAQUE

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5
Q

fewer xrays blocked =

A

RADIOLUCENT

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6
Q

systemic approach to reading scans

A
  1. identify right patient, image, quality of image
  2. describe what you see
  3. understand what causes it to look the way it does
  4. THEN consider what the cause may be
  5. use all clinical information available to make diagnosis
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7
Q

assess adequacy

A
  • rotation @ clavicles
  • inspiration = 9-10 posterior ribs
  • exposure [interspaces & vertebral bodies]
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8
Q

Rotation to left

A

MORE space @ left clavicle

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9
Q

Mediastinum xray assessment structures (8)

not CV

A
  1. trachea
  2. carina
  3. L mainstem bronchus
  4. R mainstem bronchus
  5. Spinous process
  6. Head of clavicle
  7. Intervertebral space
  8. Cardiophrenic angle
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10
Q

Mediastinum xray assessment structures

CV/vasculature (9)

A

a. R brachiocephalic v
b. ascending aorta / svc
c. R atrium
d. IVC
e. L brachiocephalic v / L subclavian a
f. aortic arch
g. main pulmonary a
h. L atrial apendage
i. L ventricle

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11
Q

Pros of xray (5)

A
fast
abundant
portable
cheap
lowest radiation
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12
Q

cons of xray (3)

A
  • interpreting shadows
  • signs not facts
  • still some radiation
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13
Q

fluoroscopy = ______

A

continuous xrays

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14
Q

fluoroscopy pros

A
  • real time imaging
  • can evaluate flow/function
  • can guide procedures
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15
Q

fluoroscopy cons

A
  • more expensive
  • non-mobile equipment
  • very high radiation
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16
Q

enteric contrast indications

A
  • post-op evaluation
  • stricture
  • reflux
  • colon cancer
  • crohns
17
Q

enteric contrast concerns

A

allergies
renal (no interaction)
post op leak > can cause peritonitis (barium)

18
Q

CT

A

xray tube spins around patient

19
Q

low attenuation

A

black (lungs)

20
Q

high attenuation

A

white (bones)

21
Q

xray absolute contraindications

A

none!

22
Q

CT absolute contraindications

A

none!

23
Q

CT pros

A
  • fast
  • best anatomic resolution
  • “truth machine”
  • definitive diagnosis
  • can guide procedures
24
Q

CT cons

A
  • medium expensive
  • non-mobile equipment
  • high radiation
25
Q

“workhorse” of

A

abdominal & lung imaging

26
Q

POCUS advantages

A
  • mobile
  • no radiation
  • inexpensive
  • real time imaging
27
Q

POCUS cons

A
  • user dependent
  • variable time
  • bones & gas decrease visualization
28
Q

POCUS contraindications

A

NONE