Test 2 Deck Flashcards
what is the chest anatomy?
bony thorax, respiratory system, mediastinum
bony thorax
protective framework (chest anatomy)
respiratory system
lungs and airways-larynx, trachea, right and left bronchi (chest anatomy)
Mediastinum
space between the lungs
name the chest radiographs (basic)
PA, Lateral
PA Chest
IR 14x17 lengthwise , top of IR 1-11/2 inches above shoulders rotate shoulder forward CR perpendicular- level T-7 (7-8 inches from vertebral prominence) 2nd inspiration. What we see: entire lungs , scapulae removed form lungs collimation top and bottom
Explain reason for performing (basic) chest x-ray
allows: diaphragm to move down farther, demonstrate: air filled levels
prevent: engorgement of pulmonary vessels and lingering in blood
Lateral Chest
IR 14X!7 lengthwise 90 degrees (coronal plane perpendicular) arms up central ray: mid thoracic (level T-7) 2nd inspiration what you see: entire lunge no rotation: by lack of superimposition of posterior ribs
Name of chest radiograph (special)
AP Supine or erect, Lateral decubitus, AP Lordotic
AP Supine or Semi erect
14X17 inches lengthwise
CR: (level T-7) perpendicular to sternum caudad or caudal - toward the feet landmark jugular notch 3-4 inches down what you see:heart is going to look larger because of the distance magnification, ribs 8 to 9, air filled wont be defined
Lateral Decubitus Chest
can be done PA or AP
IR 14X17 inches
1-11/2 inches above shoulders
arms up - so humerus is out of the way of the way lungs
CR- horizontal T-7 (7-8 inches from vertebral prominence or 3-4 inches from jugular notch)
demonstrate fluid: affected side down
demonstrate air: affected side up
decub marker: arrow or up marker
what you see: entire lungs, arms not superimposed over lungs, give enlargement of cardiac)
AP Lordotic Chest
IR 14X!&
stand erect 1 foot from IR
lean back with shoulder, head and neck against IR, hands on hips, palms out, shoulders rolled forward
SID 72’
CR horizontal (straight at the chest) T-7
AP semi- axial lordotric
Cr: 15-20 cephalad
what you see: clavicles above apices, no rotation: ribs appear near horizontal
Lateral Upper Airway (soft tissue neck)
IR 10X12 top (external auditory meatus)
soft tissue neck
CR: (C6-C7) Mid sagittal lin4
breathing: slow deep breaths through out the exposure
midway between layngel prominence, thyroid cartilage and jugular notch
what you see: air filled trachea and larynx, shoulder not superimposed over trachea
Upper Airway (soft tissue neck)
CR- T1-T2 (jugular notch 1-2 inches above)
AML (acanthiomeatal line) base of nose to ear
IR perpendicular
IR10X12
what you see: mandible, mastoid, airway
what are the 4 quadrants of the abdomen
RUQ, LUQ, RLQ, LLQ
RUQ (right upper quadrant)
liver, gallbladder, right colic, duodenum, head of pancreas, right kidney, right suprarenal gland
LUQ (left upper quadrant
spleen, stomach, left colic, left kidney, left suprarenal gland,, tail of pancreas
RLQ (right lower quadrant)
ascending colon, appendix, cecum 2/3 ileum ileocecal valve
LLQ (left lower quadrant)
descending colon, sigmoid colon, 2/3 of jejunum
what are the 9 regions
top:right hypochondriac, epigastric, left hypochondriac, middle: right lateral , umbilical, left lateral bottom:right inguinal, pubic, left inguinal
9 regions divided planes transvers/ horizontal and right and left lateral plane
2 transvers/horizontal are transplyoric plane and transtubercular plane (L1) both lateral planes are parallel to the midsagittal plane (L5)
landmarks (mid and Upper)
Xiphold tip, inferior costal (rib) margin, Illiac crest
positioning landmarks (palpation)
Things that you can palpate (makes things easier to find)
Upper Gastric
epi: above, gastric: stomach
Xiphold tip
very bottom of sternum, good way to find epigastric region, superior margin of the abdomen (T9-T-10)
Inferior costal (rib) margin
under or bottom of rib cage (L2-L3)
Iliac Crest
midabdomen (L4-L5) mid abdomen
grater trochanter
rotate the leg and you can feel it (lower abdomen pelvic landmark)
symphysis pubis
palpation inferior margin of the abdomen