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Clinical > X-Ray > Flashcards

X-Ray Flashcards

1
Q

What are the parts of assesing an X ray? (3)

A
  • Demographics
  • Radiograph detail (RIPE)
  • Interpretation (ABCDE)
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2
Q

What demographics should be checked for in an X ray? (3)

A
  • Patient details (name/DOB)
  • Date and time
  • Previous films
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3
Q

What does RIPE stand for for radiographic detail? chest x ray

A

R- rotation
I - Inspiration
P - PA
E - exposure

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4
Q

Inspiration (4)chest x ray

A
  • 5-6 anterior ribs visible above diaphragm
  • Costodiaphragmatic recesses
  • Scapula out of way
  • Lateral rib edges
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5
Q

P? chest x ray

A

PA

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6
Q

Exposure? chest x ray

A

Vertebral bodies visible through cardiac shadow

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7
Q

What does ABCDE inerpretation stand for? chest x ray

A
  • Airway
  • Breathing
  • Circulation
  • DIaphargm
  • Extra (bones, soft tissues)
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8
Q

What should be checked for in the airway of an X ray?

A
  • Trachea
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9
Q

What does the trachea deviate towards in an xray? (2)

A
  • Lobar collapse

- Consolidation

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10
Q

What does the trachea deviate away from in an xray? (2)

A
  • Effusion

- Pneumothorax

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11
Q

What should be checked for in the breathing of an X ray?

A
  • Lung fields (compare in thirds)
  • Pleural thickening
  • Hilar region
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12
Q

What is checked for in the hilar region? (3)

A
  • Lymphadenopathy
  • Masses
  • Calcification
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13
Q

What should the lung fields be checked for? (5)

A
  • Air=peumothorax
  • Fluid=effusions
  • Consolidation=infection inflammation
  • Lobar collapse
  • Tumour lesions
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14
Q

What is normal to see at edges of lung borders very laterally?

A

Some cloudyness=lung border

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15
Q

Features of consolidation (3)

A
  • No mediastinum shift
  • More patchy
  • Non uniform soft tissue density
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16
Q

How is an abnormality described? chest x ray

A
  • Density (bone/soft tissue/fat/air)
  • Uniform/non uniform
  • Position (zone, L/R, lobe)
  • Size and borders
17
Q

What is the upper zone on a chest x ray?

A

Above 2nd anterior rib

18
Q

What is the middle zone on a chest x ray?

A

Between 2nd-4th anterior rib

19
Q

What is the lower zone on a chest x ray?

A

Below 4th anterior rib

20
Q

How to tell if lower lung lobe effected?

A

Diaphargm effected

21
Q

How to tell if middle lung lobe effected?

A

Cardiac border effected (on L called lingula)

22
Q

What is checked for in circulation in a chest x ray?

A
  • Heart size (50% cardiothoracic ratio)
  • Position: displaced in collapse/effusion
  • Shape and borders
  • Great vessels (with knuckle)
  • Mediastinal width 8cm
23
Q

What is checked for in disaphragm on a chest x ray?

A
  • Position (right higher due to liver)
  • Shape
  • Costophrenic angles
24
Q

What extra things are checked for in disaphragm on a chest x ray?

A
  • Bones: fractures
  • Soft tissues: swelling/air
  • Calcification of aorta

Clinical (21 decks)

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