Skull Flashcards
Orbits are larger on AP or PA Caldwell
AP
Where are petris pyramids on a straight AP? Caldwell? Towne? Waters?
AP- fills the orbits
Caldwell- lower 1/3 of orbits
Towne- above orbits into the frontal
Waters - petrous ridge below the maxillary sinuses
What does modified waters demonstrate best
Orbital floors (blowout fx)
Where is the petrous ridges in the modified waters
Lower 1/3 of maxillary sinuses
What line is perpendicular to IR for a lateral
IPL
Where is CR entrance for lateral skull? Lateral facial bones? Lateral nasal?
Lateral skull - 2” above EAM
Lateral facial and orbits - zygoma (1/2 between outer canthus and EAM
Lateral nasal - 1/2” below nasion
A MVA victim on back board. dr orders a skull exam. Cannot move pt. Pts neck is hyperextended so that his AML is perpendicular to the IR. What should your angle and enter encrypt be to obtain a towne
30° +7° + 10° = 47° Caudad enter at the glabbella
Pt came from the ER and you suspect a spinal injury. Pt is supine and can’t be turned prone. What would it take to achieve the waters method for facial bones
Reverse waters method (acanthioparital projection)
Enter CR at acanthion
CR angled so it is parallel to MML
Two most symmetrical structures in the skull
Mastoid processes
Orbital rims
Which modality is the modality of choice if the dr suspects skeletal metastasis
Nuclear medicine
What gland sits on the sella turcica of the sphenoid bone
Pituitary
How can you tell if the waters image is rotated
Lateral margins of the skull to the lateral margin of the orbits (same distance on both sides)
Nasal bone exams include a waters and a ________ to evaluate for a bony nasal bone deviation
Caldwell
How should we do all head work ideally
Erect
What should we do for pediatric and peds pts for skull work to get images the first time
Immobilization devices
Decrease time
Increase mA
What are fontanels
Soft spots
Incomplete ossification of the skull
What are your two cranial bones that contain many air cells
Temporal and ethmoid
How do we avoid rotation and tilt of the skull
Immobilization devices
Communication
Make pt as comfort as possible
What is the top floppy part of the outer ear called
Auricle / pinna
What is the part on the outside of the EAM
Tragus
What plane divides the skull into right and left sections
Sagital
Petrous pyramids sit at the angle of ________° with the MSP for a braccicephalic (short broad head)
54°