Radiology, bones of the hand/feet, scleroderma [04/03/21] Flashcards
Pneumonic to comment on adequacy
RIPE [rotation, inspiration, penetration, exposure]
Pneumonic for looking through an XR
Airway Breathing Circulation Diaphragm Everything else
Describing abnormalities
- Number [single/multiple]
- Shape [round/oval/lobulated]
- Margin [well circumsribed/zone of transmission]
- Composition [radiolucent, radioopaque, fluid level]
- Associated features
Inspiration part of film adequacy
7 anterior ribs, 9 posterior
What should you never forgert on a film
Patient details!
signed of TENSION pneumonthorax
Deviated trachea toward affected side
What can COVID cause on XR?
Bilateral consolidative picture; atypical pneumonia
What can also cause atypical pneumonia?
Legionella
How to position pt with atypical pneumonia from COVID
Lie them prone [helps with O2 sats]
Pleural effusion signs XR
Anterior and posterior projections of fluid level [meniscus]; can hide hilar/lung Ca if they’re large
Mx for pleural effusion?
Aspirate and see exudate/transudate
CCF sign on CXR
Heart covers half the distance
Type of lines seen in CCF?
Kerley B/C lines [though wary as also kerly D/E lines]
What are kerly B lines?
Ones perpendicular to the chest wall
Sx of metastatic lung ca
Multiple small radioopaque lesions bilaterally, loss of costophrenic angles
Types of tumour example can be affected CXR
RCC, can be others
RCC on an CXR?
Cannonball met
What does prostate cancer met look like CXR?
Radiolucent areas
How to differentiate between large and small bowels?
Features of each [e.g. haustra lines don;t cross all the way large]
Do we AXR patients for bowel obstruction if indicated?
No, we CT as clearer view
Name of condition for perforated bowel where lots of fluid leaks out?
Pneuoperitoneum
best case scenario perforated bowel/
After surgery
Latin name for kidney stones
Neprolithiasis
major muscle seen in pelvis XR usually?
psoas
What follows the psoas major can be identified?
The ureters
Will all stones show up on XR?
NO, only ones with calcium [80%]
What are the other kidney stones made up of?
uric acid, struvite
type of bony breaks [there are 9]
simple transverse, oblique, spiral, then werid butterfly names, complex, multi-framgented
Positions describing fracture femur
Epiphseal region, subtrochanteric, intracapcular, supracondular, diaphyseal region
Wrist fracture name
Colles fracture
Technique describing fracture
Pattern: simple/comminuted, shape [transverse/oblique/spiral/avulsion
level of fracture
- intra-extra-articular, epiphyseal, metaphyseal, diaphyseal
deformity [if there is one]
- translation/displacement, anulation, rotation
What is the classification commonly used in ankle fractures?
Weber’s classification [for lateral malleolar fractures]
