Week 5 Flashcards

1
Q

What is the best way to become proficient at interpreting x-rays and other medical imaging tests

A

read them systematically

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2
Q

Identify

A
  • who is patient - is this correct patient? - age/sex - when was exam taken? - are there prior exams - clinical hx?
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3
Q
  • Technique, view, quality?
  • How is this tken?
  • Quality?
A

PA and lateral CXR, PA and lateral, good (not blurry, can see spine, )

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4
Q

What can happens if you take image during expiration?

A
  • could look like cardiomegaly
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5
Q

view, how was it taken, quality?

A
  • AP portable CXR
  • taken in a bed in the ED/ ICU
  • not good, obscued by tubes and lines
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6
Q

What is the exam and view depicted? How was it acquired?

A

AP CXR? Patient in ICU lying down.

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7
Q

Modality and view depicted?

Describe abnormality.

A

PA and lateral CXR

  • LLL infiltrate/ pneumonia
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8
Q

Imaging modality and view?

  • abnormality?
  • sex?
  • dx?
A

PA CXR

Pulmonary nodules/masses

woman

woman with metatatic breast cancer

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9
Q

Modality and views depicted

abnormality

A

PA and lat CXR

RML infiltrate/pneumonia

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10
Q

imaging exam?

  • what is A?
  • what is B?
  • What is C?
A
  • normal PA chest x-ray
  • Aortic arch
  • Hila/central pulmonary vessels
  • Heart
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11
Q

What is this?

A

CT of thoracic Aortic Aneurysm

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12
Q

What is this?

A

Thoracic aorta ectasia and aneurysm

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13
Q

What is wrong?

A

Hila and central pulmonary vessels are enlarged

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14
Q

What are imaging modality and view?

what is wrong with the heart?

  • how to grossly define?
  • when can this occur?
A

PA chest

Cardiomegaly w/ hilar enlargement and pulmonary vascular congestion

  • defined on PA CXR when transverse diameter of heart exceeds 50% of the transverse diameter of the lower chest
  • CHF
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15
Q

Imaging modality and views? Abnormality?

A

PA and lateral CXR

  • Pleural effusion
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16
Q

Imaging modality and views?

A

A = PA CXR

B = lateral CXR (most sensitive view to look for a small pleural effusion)

C = L lateral decubitus (L side of pleura is thickened = free-flowing L pleural effusion) –> fluid on dependent L side shifts during a pleural effusion (see space between the lateral rib margins & the pleura)

17
Q

Imaging modality and view?

abnormality?

A
  • PA CXR
  • Large R pneumothorax
18
Q

Imaging modality and view?

describe abnormalities

A

AP CXR

Tension pneumothorax

19
Q

imaging modality and view?

abnormality

  • how old i the patient?
A

Lateral CXR

osteophytes that are bridging between vertebrae –> aka syndesmophytes

This is an older patient –> can tell on imaging

20
Q

Imaging modality and view?

  • abnormalities?
A

PA CXR

Air under the diaphragm is abnormal (an emergency with the exception of a post-op laparoscopic surgery –> abdomen would be inflated)

This older patient has a bowel perforation