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15 Cards in this Set
- Front
- Back
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When is CXR the best initial radiologic test/ |
for any kind of pulmonary complaint such as ShoB, cough, chest pain (pleurisy), sputum, hemoptysis |
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also th best test for abnormal physical exam findings in the lungs like |
rales, rhonchi, dullness to percussion, chest wall tenderness, tracheal deviation, possible SVC syndrome |
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one requirement of getting a PA film is |
that the patient has to stand up |
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what is done if the patient is too sick to get a PA film? |
they can get a A/P film instead
can use portable x ray and do it in the ICU and that kinda thing |
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what is the use of a decubitus film? |
done to take a better look at a pleural effusion seen on PA films
if the effusion is freely mobile it can tell you whether the effusion is from pneumonia or not |
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best initial test if you have tearing hcest pain radiating to the back |
CXR to look for a widened mediastinum |
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what is the purpose of an apical lordotic film? |
it used to be the best test to look for upper lobe TB but CT chest is usually better
the purpose is the move the ribs out of view of the apices |
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best reason to get an abdominal plain film |
if you suspect ileus, SBO or to look for free air under the diaphargm |
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do you use a plain film for kidney stones? |
not realy- CT is much more sensitive |
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actually what is a BETTER answer if you suspect a bowel perforation? |
upright CXR to look for free air |
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best initial test for osteomyelitis |
X ray of the bone |
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Why? |
because an X ray will show elevation of the periosteum due to inflmmation and bone destruction
long standing infection gives new bone formation, destroyed bone etc. |
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How sensitive is X ray for osteomyelitis> |
not very sensitive at all- it can take up two weeks for X ray to show osteomyelitis |
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then what is a better test for osteomyelitits? |
MRI- but you want to try X ray first |
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skull x rays are pretty much |
useless
you can CT all these injuries much more accurately |
