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105 Cards in this Set

  • Front
  • Back

loculated effusion

aicd

aicd

air under diaprhgm

apical pneumothorax

AP view

ards

ards

aspiration pneumonia

atelectasis

catheter too far

chf

coiled ngt

coiled rij

dilated left ventricle

double lead pacer ra rv

ett in but hole in subcutaneous tissue

ett too high

healed rib fractures

hilar lymphadenopathy from sarcoidosis

implants

too low chest tube

interstitial edema in chf

left pneumothroax

label

lef trib fracture

mediastinal mass

ngt in right lung

normal breast tissue

normal chest xray

right over exposure, left under exposure

pa view

pac too far

perforated pericardium

pericardial effusion

picc line going up the jugular

pleural effusion

pleural effusion

pneumomediastinum

pneumonia

pneumopericardiu

pneumothroax

proper chest tube

proper central venous catheter

pulmonary EDEMA

right mainstem intubation

right middle lobe pneumonia

rotated

sbft

single lead pacer rv

skin fold

subq emphysema

tension pneumothroax

list objects from area of whitest to darkest as they will appear on an xray

metal-bone-calcium-soft tissue- fat- air

more dense an object wil appear what on xrya

more white/ radiopaque


less dense object appears what on xray

black/ radiolucent

what things you want to look for with image quality (7)

ap,pa? lung volumes, first ribs visible? costopphrenic angle visible? lateral edges of ribs visible? is pt rotated and how is penetration

standard view

PA

what is pa fim

xray unit is behind pt, pt infront of film and beam is shot behind the patient

what view would you order if pt can not stand

AP- plate is further away from heart

what wold a pa view look like

sharp, focused, scapula not seen

what would an ap film look like

fuzzy bigger heart magnified, medistinum is wide further from plate

what is an ap film

plate further away form heart by time ebeam hits heart it is larger than what it normally is

benefit of lateral view

see behind the heart, used with pa vew to help establish a 3 d view, bigger respresentation of whats going on

what is lateral decubitis film

patient lies on right or left, lung invetigated will lie on that side, xray is labeled according to that side that is placeddown ( so left deubitis means pts left side is down on film) , looking for fluid or air, tells you how large an effusion is

what film can help evaluate pleural effusion or pneumothroax

lateral decubitus

what is loculated

fluid adheres to certin areas

when are xrays done when consering lung volumes

end expiration

with low lung volumes what will xray look like

heart big, mediastinum wide, can miss atelectasis effusion and severity of them

to determine if pt is rotated hwat do you lok for

clavicles should be symmetric, clavicles move outward toward shoulder symmetrically, equal distance beterrn medial edges of left and riht clavile to the trachea, spinous process is midline

what is penetation efected by

duration of exposure and power o the beam

the more power how does it effect penetation

the more penetrated.

over penetrated vs underpenetrated

over penetrated is dark, underexposure is white

system of reading xray

name date time, lines tubes drains, lung, heart, mediastinum, diaphragm

what do we look for when looking at ches xrays

lines tubes drans bones and soft tissue, trachea mediastinum heart and aorta diaphrams pleural space hilum lungs

a pneumothroax will push everything where

to the unaffected side

when putting in an ett where should the tip be

below level of clavicle and 2-4 cm above carina

ett too high puts pt at ris k for

vocal cord injury or accidental extubation

when putting in chest tube where should it be positioned

up toward apex, make sure holes are in chest cavity

difference on xray between pacer and aicd

aicd has thickened coils

when looking at an ngt what questions do you ask

can you see it? does it follow esohagus? does it bisect carina, does it go below diaphrm, does it deviate to the right or left, do you see the tip clearly, is it coiled or kinked

how should the sbft look on xray

below diaphram, head left then ight, cros midline tip points away form ge junction

what would healed rib fractures look like

thickening or calcified part of rib

what does subcutaneous emphysema look like

dark streaks area in tissue

why are breast shadows important

look for asectomy and inquire about poassible metastesis

when you see a medistnal mass what do you want to rule out

largge heart or dilated artery

when you find a mediastinal mass what should you do

order a lateral to classify and f/u with vt or mir

air in mediastinum

pneumomediastinum

what would pneumomedastinul look like

air that outline structures that normally are not able to see on xray, dark area that highlight or outline vessels

differentite pnumomediastinum between pneumopericardium

pneumomediastinum disects into neck

air in peicardium

pneumopericardium

best to diagnose pericardial effusion

echo

tension pneumothoax qualities

shifts everythig to unaffeted side, diaphragm is flat

sulcus s ign

large volume of air in chest cavity

what indicats a pneumothroax

deep sulcus sign when laying down/ apical pneumo in a supine pt

apical pneumo in a supine pt can indicae what

large volume of air

what does pleural effusion look lke

diaphram becomes hazy difficult to see adn disappears, hainess all ovr

what does lung abnormlaities appear as

increased denisty

3 mechanisms tha tleads to pulmonary edema

incraeased hydrosatic gradient, diminihed oncotic pressure ex liver who lose protein,, increase capillary permeability due to endothelial injury ex ards

classic pulmonary edema appearance

bat wings ( increased in pulmonary vasculature

interstitial edema in what pt

chf

define ards

constellation of clinical and radiographical sign and symptoms reflecting pulmonary edema in the abscence of elevated pulmonary venous pressure

signs of atelectasis

loss of volume of affected lung, vsiceral and parielta pleura do nnot seperate, shift of heart and hemidiaphragm toward side of opacfication (sie of volume loss)

what is a hilum

root of lung where bbunch of vesels are coming out of the lung, left hlum is higher than right

what might you find in the hilar area

lymphnodes