Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ESA 3 - Respiratory > Session 10 - Lecture 1 - Radiology > Flashcards

Session 10 - Lecture 1 - Radiology Flashcards

1
Q

2 - Learning Outcomes

A

Learning outcomes
You should be able to:-
 To understand the basic science of obtaining an image
 Describe and be able to recognise the key features of a plain film radiograph of the chest, in relation to
- Technical film factors
- Basic chest anatomy
 Understand the principles of an ABC approach to interpretation
 Describe the features of and recognise uncomplicated
- Pleural effusion
- Pneumothorax
- Consolidation
- Space occupying lesions within a lung
- Lobar collapse
- Estimate the cardiac index

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

4 - Projection

A

Projection

PA projection
X-ray source
Direction of beam --> Posterior
Standing
Anterior
Viewed from front
AP projection
X-ray source
Viewed from front
Direction of beam --> Anterior
Sitting
Posterior

{Standard projection is PA, but pts unable to stand or doing well on ward - portable x-ray on wards, tends to be AP which alters what we see on img}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

5 - Projection - why is it important?

A

Projection - why is it important?

PA AP

{PA - lung fields nicely expanded; nice crisp heart border
AP - magnifies appearance of heart, don’t appear to have as good expansion of lung fields so can miss pathology}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

6 - Inclusion

A

Inclusion

 What do we need to see

 1st rib
 Lateral margin of ribs
 Costophrenic angle

{as long as we have all 3 of these things we have adequate coverage}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

7 - Rotation

A

Rotation

 Alignment of:

 Spinous process
and
 Clavicles

  • Spinous processes
  • Medial clavicles

{Assess rotation by looking for nice crisp clavicles with spinous process in middle of clavicles – if pt is rotated it throws spinous process of projection to one side or other and makes one side of chest look bigger or smaller}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

8 - Lung volumes normal

A

Lung volumes

 Inspiratory phase
 Normal
- 5th to 7th anterior ribs at MCL
 Problems with incomplete inspiration:
- Big heart
- Increased lung markings
 Exaggerated expansion
- Obstructive airways disease
  • Clavicle
  • Diaphragm
  • Midclavicular line
    No consolidation
    1 2 3 4 5 6

{If 5-7th anteiror ribs in MCL there is ADEQUATE INSPIRATORY FILM - to do this ask pts to take reasonable breath in.

May not be able to do that if unwell, or has other restrictive disease processes

OAD e.g. COPD, emphysema}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

9 - Lung volumes abnormal

A

Lung volumes

  • Clavicle
  • Diaphragm
  • Midclavicular line
  • Ribs 1 2 3
  • Consolidation ? ?

{If not a good enough breath is taken in can’t assess the lung bases appropriately on a CXR – type of film you often get on sick pts on ward where ironically these are the ones most important to get a good CXR, but try as we might we can’t always get that.

Unable to tell if there is consolidation}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

10 - Penetration

A

Penetration

 Degree to which the x-rays have passed through the body
 Adequate penetration
- Vertebrae just visible through heart
- Complete left hemidiaphragm is visible
 Digital manipulation often negates this

{Degree by which XR have gone through body and absorbed by XR detector/plate}

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

10

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

11

A

11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

12

A

12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

13

A

13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

14

A

14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

15

A

15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

16

A

16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

17

A

17

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

18

A

18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

19

A

19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

20

A

20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

21

A

21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

22

A

22

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

23

A

23

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

24

A

24

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

25

A

25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

26

A

26

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

27

A

27

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

28

A

28

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

29

A

29

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

30

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

31

A

31

31
Q

32

A

32

32
Q

33

A

33

33
Q

34

A

34

34
Q

35

A

35

35
Q

36

A

36

36
Q

37

A

37

37
Q

38

A

38

38
Q

39

A

39

39
Q

40

A

40

40
Q

41

A

41

41
Q

42

A

42

42
Q

43

A

43

43
Q

44

A

44

44
Q

45

A

45

45
Q

46

A

46

46
Q

47

A

47

47
Q

48

A

48

48
Q

49

A

49

49
Q

50

A

50

50
Q

51

A

51

51
Q

52

A

52

52
Q

53

A

53

53
Q

54

A

54

54
Q

55

A

55

55
Q

56

A

56

56
Q

57

A

57

57
Q

58

A

58

58
Q

59

A

59

59
Q

60

A

60

60
Q

61

A

61

61
Q

62

A

62

62
Q

63

A

63

63
Q

64

A

64

64
Q

65

A

65

65
Q

66

A

66

66
Q

67

A

67

67
Q

68

A

68

68
Q

69

A

69

69
Q

70

A

70

70
Q

71

A

71

71
Q

72

A

72

72
Q

73

A

73

73
Q

74

A

74

74
Q

75

A

75

ESA 3 - Respiratory (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions