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Rad positioning extremities > Upper Extremity > Flashcards

Upper Extremity Flashcards

1
Q

shoulder series

A

AP internal rotation
AP posterior oblique with external rotation
PA Y view

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2
Q

which bucky do we use for AP shoulder with internal rotation?

A

upright bucky

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3
Q

film size and orientation for AP shoulder with internal rotation?

A

10x12

transverse

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4
Q

patient blocker location for AP shoulder with internal rotation?

A

down

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5
Q

CR for AP shoulder with internal rotation?

A

middle of glenohumeral joint space

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6
Q

collimation for AP shoulder with internal rotation?

A

film size

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7
Q

what are some extra things to remember for all UE xrays?

A

40” SID
always shield
don’t breathe, don’t move
side marker for extremity being xrayed

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8
Q

patient instructions for AP shoulder with internal rotation?

A

internally rotate arm until epicondyles are perpendicular to the film
keep back flat against bucky

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9
Q

what anatomy do we see in AP shoulder with internal rotation?

A

clavicle
coracoid process
acromion
lesser tubercle

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10
Q

what anatomy do we see in posterior oblique shoulder with external rotation?

A 
coracoid process
clavicle
acromion
greater tubercle
intertubercular groove
glenohumeral joint space
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11
Q

which bucky do we use for posterior oblique shoulder with external rotation?

A

upright bucky

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12
Q

film size and orientation for posterior oblique shoulder with external rotation?

A

10x12

transverse

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13
Q

ID blocker location for posterior oblique shoulder with external rotation?

A

down

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14
Q

CR for posterior oblique shoulder with external rotation?

A

middle of glenohumeral joint space

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15
Q

patient instructions for posterior oblique shoulder with external rotation?

A

rotate patient toward affected side until you feel the joint space open
externally rotate arm until epicondyles are parallel to film

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16
Q

collimation for posterior oblique shoulder with external rotation?

A

film size

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17
Q

patient position for PA Y view?

A

scapula in lateral position
perpendicular to bucky
facing bucky

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18
Q

which bucky do we use for PA Y view?

A

upright bucky

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19
Q

film size and orientation for PA Y view?

A

10x12

lengthwise

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20
Q

ID blocker location for PA Y view?

A

down

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21
Q

how much do you rotate the patient for PA Y view?

A

45-60 degrees

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22
Q

CR for PA Y view? Is there a tube tilt?

A

10-15 degree caudal tube tilt

medial end of scapular spine of affected scapula

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23
Q

collimation for PA Y view?

A

film size

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24
Q

what anatomy will you see on a PA Y view?

A

clavicle
acromion
coracoid process

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25
Q

what is the point ot PA Y view?

A

detect shoulder impingement syndrome

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26
Q

what bucky do you use for AC joint unweighted?

A

upright bucky

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27
Q

film size and orientation for AC joint unweighted?

A

10x12

lengthwise

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28
Q

ID blocker location for AC joint unweighted?

A

down

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29
Q

CR AC joint unweighted? Is there a tube tilt?

A

5 degree cephalic tube tilt

enter middle of AC joint

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30
Q

patient instructions for AC joint unweighted?

A

arms at sides in neutral anatomic position

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31
Q

collimation for AC joint unweighted?

32
Q

what is the differences between weighted and AC joint unweighted?

A

patient holds weights in both hands during exposure

use extra marker to indicate weight bearing

33
Q

clavicle series

A

PA clavicle

AP axial clavicle

34
Q

which bucky do we use for PA clavicle

A

upright bucky

35
Q

film size and orientation for PA clavicle

A

10x12

transverse

36
Q

ID blocker location for PA clavicle

37
Q

CR PA clavicle

A

mid clavicle

clavicle in middle of film

38
Q

collimation for PA clavicle

39
Q

CR for AP axial clavicle

A

15 degree cephalic tube tilt entering inferior border of mid clavicle

40
Q

ID blocker orientation AP axial clavicle

41
Q

film size and orientation for AP axial clavicle

A

10x12

transverse

42
Q

collimation for AP axial clavicle

43
Q

humerus series

A

AP humerus

lateral humerus

44
Q

what type of bucky do we use for AP humerus?

A

upright bucky

45
Q

film size and orientation of AP humerus?

A

14x17

lengthwise

46
Q

ID blocker location for AP humerus?

47
Q

collimation for AP humerus?

48
Q

patient placement for AP humerus?

A

body slightly oblique so arm hangs straight down along the side of the body
be sure to include joint closes to injury

49
Q

what type of bucky do we use for lateral humerus?

A

upright bucky

50
Q

film size and orientation for lateral humerus?

A

14x17

lengthwise

51
Q

collimation of lateral humerus?

52
Q

patient position for lateral humerus?

A

PA or AP with elbow flexed 90 degrees

include joint of interest

53
Q

hand series

A

PA hand
PA oblique hand
lateral hand

54
Q

type of bucky for PA hand?

55
Q

film size and orientation for PA hand?

A

10x12

lengthwise

56
Q

ID blocker location for PA hand?

A

toward elbow

57
Q

patient instrucitons for PA hand?

A

hand pronated

58
Q

CR for PA hand?

A

center of part (3rd knuckle)

59
Q

collimation for PA hand?

60
Q

PA oblique hand bucky type

61
Q

film size and orientation for PA oblique hand

A

10x12 lengthwise

62
Q

ID blocker location for PA oblique hand

A

toward elbow

63
Q

patient instrucitons for PA oblique hand

A

supinate hand 45 degrees from PA

64
Q

CR for PA oblique hand

A

center of part (3rd knuckle)

65
Q

collimation for PA oblique hand

66
Q

bucky type for lateral hand?

67
Q

film size and orientation for lateral hand?

A

10x12

lengthwise

68
Q

ID blocker location for lateral hand?

A

toward hand

69
Q

patient instructions for lateral hand?

A

place hand in lateral position (ulnar side touching film)

70
Q

CR for lateral hand?

A

center of part

71
Q

collimation for lateral hand?

72
Q

which films are taken transverse?

A

AP internal oblique shoulder, eternal oblique shoulder, PA and axial clavicle

73
Q

tube tilts

A

Y view 10-15 caudal
AP axial clavicle 15 cephalic
ulnar fleion 20 cephalic

74
Q

accessory views

A 
olecranon/Jone's view
ball-catchers AP hands
carpal tunnel
fingers and thumb
baby arms
75
Q

pediatric considerations

A

minimize exposure to patient

Rad positioning extremities (8 decks)

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