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Radiographic Procedures I Summer 2024 > Week 2,3 - Chest Positioning > Flashcards

Week 2,3 - Chest Positioning Flashcards

1
Q

Body Habitus:

A

Hypesthenic: Massive

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2
Q

Body Habitus:

A

Stenic : Average

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3
Q

Body Habitus:

A

Hyposthenic: Slender

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4
Q

Body Habitus::

A

Asthenic: Very slender

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5
Q

4 divisions of respiratory system ?

A

pharynx (leads air into larynx); trachea; bronchi and lungs

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6
Q

trachea runs from which levels of the vertebrae?

A

c6 to t5

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7
Q

what types and numbers of each vertebrae

A

Cervical - 7

thoracic - 12

lumbar - 5

sacral - 5

caudal (coccygeal) - 4

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8
Q

what is anatomy of the rt bronchi?

A

Its wider and shorter than the lt bronchi, making it more likley to be lodged with a foreign object

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9
Q

What is the carina?

A

lowest level of trachea where the rt or lt bronchi divide

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10
Q

Medial Boarder of Lungs

A

Hilum

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11
Q

How many lobes on each lung

A

Rt. 3 lobes
Lt 2 Lobes
(Rt lung shorter b/c of liver, but more broader)

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12
Q

Position of the trachea (windpipe)

A

Is anterior to esophagus (when choking on food, it usually goes into the right bronchus)

Right primary bronchus is shorter, wider and more vertical than the left

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13
Q

Chest: Topographic Anatomic Landmarks (Anterior)

A
  1. Jugular Notch (use to help center for AP Chest view )
  2. Xiphod Process (inferior tip of sterum)
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14
Q

Chest: Topographic (palpable) Anatomic Landmarks (Posterior)

A
  1. Vertebral Prominens (7th cervical vertebrae) (if the neck is flexed forward, its the first palpable landmark of the spine
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15
Q

Chest: Topographic Anatomic Landmarks (Posterior)

A
  1. Scapula: level of T-7 which is mid-thorax centering point for PA CXR
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16
Q

Bony thorax: How many ribs and thoracic vertebrae

A

12 pairs (24 ribs) and 12

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17
Q

Chest: PA Projection: Patient Position

A
  1. Erect Facing IR;
  2. Dorsal surface of hand on hips and roll shoulders forwards (moves scapulae out of lung field)
  3. Expose on full inspiration
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18
Q

Chest: PA Projection: IR Placement

A

1.5 - 2” above relaxed shoulders

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19
Q
A
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20
Q

Bony thorax: How many ribs and thoracic vertebrae

A
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21
Q

Chest: PA Projection: CR

A

Perp. to T-7 w/ a 72” SID

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22
Q

Chest: PA Projection: SS

A

Air filled lungs, heart, aortic arch, bronchial tree

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23
Q

Chest Lateral Projection: PP

A

Erect; True Lateral (Left Lateral)
MCP Centered to midline of grid
Extend arms over head

24
Q

Chest Lateral Projection: IR

A

1.5 - 2” above shoulders

25
Q

Chest Lateral Projection: CR

A

Perp entering at T-7 @MCP

26
Q

Chest Lateral Projection: SS

A

Heart, Lungs, Aorta - Done to differentiate lobes, and pulmonary lesions

27
Q

Chest Lateral View

A
28
Q

AP Projection: PP

A

Supine or Upright

29
Q

AP Projection: IR

A

MSP to Midline of grid

1.5 -2” above shoulders

30
Q

AP Projection: CR

A

Perp to sternum;
3” inf. to jugular notch

31
Q

AP Projection: SS

A

Similar to PA, but everything is magnified

Lung field seems shorter due to abdominal compression

32
Q

AP VS PA X-ray View

A
33
Q

AP or PA Projection RT. or LT Lateral Decubitus: PP

A

Lay recumbent on either side;

lateral w/ hand raised above the head

34
Q

AP or PA Projection RT. or LT Lateral Decubitus: IR

A

1.5 - 2” above shoulders

35
Q

AP or PA Projection RT. or LT Lateral Decubitus: CR

A

Perp and horizontal to:

AP: 3” below juglar notch

PA: T-7

36
Q

AP or PA Projection RT. or LT Lateral Decubitus: SS

A

Of the chest, including air/fluid levels in a pneumothorax or pleural effusion (mark this side)

37
Q

AP Decubitus Chest Photo

A
38
Q

Lateral Projection RT or LT Dorsal or Ventral

A
39
Q

Lateral Projection RT or LT Dorsal or Ventral: PP

A

Supine or prone; radiolucent sponge under pt;

40
Q

Lateral Projection RT or LT Dorsal or Ventral: IR

A

Center Grid to thorax;
Place AFFECTED side on

41
Q

Lateral Projection RT or LT Dorsal or Ventral: CR

A

Perp and horizontal entering MCP @ T-7

42
Q

Lateral Projection RT or LT Dorsal or Ventral: SS

A

Change in Air/Fluid level and shows pulmonary areas obscured by fluid in standard projection

43
Q

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic

A
44
Q

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: PP

A

Erect, standing
1 foot in front of IR
upper shoulders are leaning on IR

45
Q

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: IR

A

IR is 3” above shoulders

IR is 72” SID

46
Q

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: CR

A

Perp to center of IR midsternum

47
Q

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: SS

A

Axial projection of lungs to demo. interlobar effusions

interlobar effusions=a loculated collection of fluid

48
Q

PA Oblique - RAO/LAO Position

A
49
Q

PA Oblique - RAO/LAO Position : PP

General + Heart Series

A

Erect 45 degree rt or lt (oblique)

Cardiac series: 55 - 60 degrees

Arms down posteior hand on hip

50
Q

PA Oblique - RAO/LAO Position : IR

A

2” above C-7

51
Q

PA Oblique - RAO/LAO Position : CR

A

Perp to T-7

52
Q

PA Oblique - RAO/LAO Position : SS

A

Oblique view of the chest and lungs

53
Q

AP Oblique RPO/ LPO Position

A
54
Q

AP Oblique RPO/ LPO Position : PP

A

Erect; 45 degrees oblique

55
Q

AP Oblique RPO/ LPO Position: IR

A

IR: 2” above C-7

56
Q

AP Oblique RPO/ LPO Position: CR

A

Perp to T-7

57
Q

AP Oblique RPO/ LPO Position : SS

A

Oblique view of chest and lungs

Radiographic Procedures I Summer 2024 (9 decks)

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