X ray

Question 1

Basic Checks on X ray (9)

Answer 1

name 
DOB 
Date 
R or L 
PA or AP
Exposure 
Patient position 
inspiration or expiration 
previous films for comparison

Question 2

what is an X ray ….2 main features?

Answer 2

black and white film of the thorax

PA view - X ray beam passes from posterior to anterior through patient - anterior aspect of thorax on film cassette

AP view - beam passed from anterior to posterior through patient sitting upright/supine. Posterior aspect of thorax on film cassette.

Question 3

CXR X-rays can be difficult to read if…..

Answer 3

over exposure or under exposure

Question 4

Assessing a chest CXR think…

Answer 4

A - alignment 
B - bones 
C - cardiac 
D - diaphragm 
E - expansion 
F - fields (lung)
G - gadgets

Question 5

Consolidation - appearance (3)

Answer 5

patchy white opacity, poor defined borders
no loss of volume
associated air bronchogram

Question 6

Atelectasis

Answer 6

decreased lung volume - shift of adjacent structures

increased opacity of collapsed area

increased transluncency of other areas as they distend

elevation of hemidiaphragm

Question 7

pulmonary oedema

Answer 7

upper lobe diversion
short horizontal Kerley B lines at the bases

bilateral bats wing shadows spreading from hila

pleural effusion evident as fluid seeps into pleural spaces and fissures

enlarged heart