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30 Cards in this Set

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HOT THYROID
GRAVES
IODINE DEFECIENCY
REBOUND PHASE OF SUBACUTE THYROIDITIS
ORGANIFICATION DEFECT
GIRO (as in a hot thyroid gyro sandwich)
COLD FOCAL LESION ON BONE SCAN
CAVERNOUS HEMANGIOMA
LUNG MET
OSTEOMYELITIS (RARE IN ADULTS)
PLASMACYTOMA/MYELOMA
CLOP
FIXED DEFECT THAT BEATS
LIVER ATTENUATION -SCANNED TOO EARLY
DIAPHRAGMATIC ATTENUATION
STENOSIS, HIGH GRADE
LDS (as in the latter day saints have fixed defects in their system [jk])
LYTIC BONE LESION THATS NORMAL ON PET
PLASMACYTOMA
EG
THYROID MET
PET
TEENAGER WITH HOT FEMUR
FRACTURE (STRESS TYPE)
INFECTION (ATYPICAL)
OSTEOID OSTEOMA, MOST COMMON
FIO (as in Fionna was a hot leggy teenager)
UNILATERAL V>Q MISMATCH
MASS IN HILUM
AGENESIS OF IPSILATERAL PULMONARY ARTERY
PE (RARE)
MAP
HOT THYROID ON PET
HASHIMOTOS
GRAVES
LYMPHOMA (RARE)
Hot Goiter List
SPILL PROTOCOL
NOtify people around and radiation safety officer
COver the spill
DEcontaminate the people (me first then you)
Clean Up and put in hot lab for 8 t1/2
Survey Site, keep cleaning until no more radiation
NO CO-DE! CU-SS
DYNAMIC SCAN PHASES
FLOW
POOL
UPTAKE
FPU
DAILY QC
UNIFORM Flood daily, intrinsic/extrinsic=without/with collimator
Wear your UNIFORM DAILY
WEEKLY QC
BAR Phantom weekly, spatial resolution and linearity check
Go to the BAR WEEKLY
REPORTABLE MISADMINISTRATIONS ACTIVITY CUTOFFS
IODINE-131 > 30 mCi
Body dose > 5rem
Organ dose > 50 rem
I'm 30, my body is 5 feet tall, and my organ is 50 cc (not really).
REPORTABLE TYPES OF MISADMINISTATION
DOSE
ROUTE
TRACER
PATIENT
DR. TP (as in Doctor TP will be needed to wipe your ass from the reaming you'll take from the NRC)
SHORT AXIS VASCULAR TERRITORIES
9 TO 5: LEFT MAIN, 9 TO 1: LAD, 1 TO 5: LCX, 5 TO 9:RCA
ALPHABETICAL-CLOCKWISE; THE LEFT MAIN WORKS 9 TO 5
SUPERSCAN
HYPERPARATHYROIDISMHYPERPARATHYROIDISM
ARTIFACT (DELAYED SCANNING >6HRS SO BLADDER WASHES OUT)
RENAL FAILURE
METS
HARM
COLD THYROID
SUBACUTE THYROITIS-viral inflammation causes a burst of t4 then nonfunctioning thyroid
ECTOPIC THYROID PRODUCTION-struma ovarii, ectopic thyroid
LUGOL'S-recent iodine intake that blocks uptake, usually Asx
FACTITIA-exogenous thyroid intake
SELF
ADENOSINE TRIVIA
140 MCG/KG/MIN
CONTRA:ASTHMA/COPD
INJECT TRACER AT 3 MIN
DOBUTAMINE IS ALTERNATIVE
CARDIAC STRES/REST
1 DAY PROTOCOL
10mCi-STRESS, 30mCi-REST 4 HRS POST
FLOOD SOURCES
P.OINT SOURCE-I.NTRINSIC FLOOD-E.XTRINSIC FLOOD-S.HEET SOURCE
PIES
EXTRAPULMONARY TC-MAA
DELAYED IMAGING (Tc Disassociates)
ARDS
SHUNTS
SVC OBSTRUCTION
DASS
FUZZY BONE SCAN
DISTANCE
OFF PEAK
TRACER (NOT ENOUGH)
SPEED OF TABLE (TOO FAST)
DOTS! (as in “its just dots not a picture”)
LUNG MASSES NEGATIVE ON PET
Hyperglycemia
BronchoAlveolar Cell-slow metabolism
Ca-rcinoid
HyperBaCar
MSO4 HIDA SCAN
MAKE SURE OPEN AMPULLA
M S O
MUGA
MULTIPLY GATED ACQUISITION
MUGA
RADIOCHEMICAL IMPURITY TEST
THIN LAYER CHROMATOGRAPHY
IMPURE CHEMISTS ON THE RADIO NEED TLC
RADIONUCLIDE CONTAMINANT
MOLYBENDUM-99 IS A RADIONUCLIDE CONTAMINANT
MOLY IS A DIRTY RN
DOSE CALIBRATOR CONSTANCY
DAILY CHECKS WITH A CESIUM-137 STANDARD, MUST BE +/- 5% OF CACLUATED ACTIVITY
CONSTANCY IS CHECKED CONSTANTLY
PERIOSTITIS-ADULT
HPT
HYPERTROPHIC PULMONARY OSTEOARTHROPATHY, PACHYDERMOPERIOSTITIS:congenital occurs later in life THYROID ACROPACHY:SMALL BONES HANDS/FEET history of treated graves disease
DISCORDANT THYROID NODULE (COLD I-123, HOT TC NODULE)
ADENOMA NEOPLASM THYROIDITIS
ANT (as in "discordANT")
BONE INFARCT IMAGING
INFARCTED BONE IMAGING PROTOCOL-
BONE:HOT SULFUR COLLOID:COLD WBC:COLD
INFARCTED BONE SEEMS WHITE;