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105 Cards in this Set
- Front
- Back
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loculated effusion |
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aicd |
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aicd |
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air under diaprhgm |
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apical pneumothorax |
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AP view |
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ards |
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ards |
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aspiration pneumonia |
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atelectasis |
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catheter too far |
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chf |
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coiled ngt |
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coiled rij |
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dilated left ventricle |
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double lead pacer ra rv |
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ett in but hole in subcutaneous tissue |
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ett too high |
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healed rib fractures |
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hilar lymphadenopathy from sarcoidosis |
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implants |
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too low chest tube |
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interstitial edema in chf |
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left pneumothroax |
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label |
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lef trib fracture |
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mediastinal mass |
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ngt in right lung |
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normal breast tissue |
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normal chest xray |
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right over exposure, left under exposure |
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pa view |
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pac too far |
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perforated pericardium |
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pericardial effusion |
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picc line going up the jugular |
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pleural effusion |
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pleural effusion |
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pneumomediastinum |
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pneumonia |
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pneumopericardiu |
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pneumothroax |
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proper chest tube |
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proper central venous catheter |
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pulmonary EDEMA |
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right mainstem intubation |
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right middle lobe pneumonia |
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rotated |
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sbft |
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single lead pacer rv |
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skin fold |
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subq emphysema |
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tension pneumothroax |
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list objects from area of whitest to darkest as they will appear on an xray |
metal-bone-calcium-soft tissue- fat- air |
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more dense an object wil appear what on xrya |
more white/ radiopaque
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less dense object appears what on xray |
black/ radiolucent |
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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 |
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standard view |
PA |
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what is pa fim |
xray unit is behind pt, pt infront of film and beam is shot behind the patient |
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what view would you order if pt can not stand |
AP- plate is further away from heart |
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what wold a pa view look like |
sharp, focused, scapula not seen |
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what would an ap film look like |
fuzzy bigger heart magnified, medistinum is wide further from plate |
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what is an ap film |
plate further away form heart by time ebeam hits heart it is larger than what it normally is |
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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 |
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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 |
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what film can help evaluate pleural effusion or pneumothroax |
lateral decubitus |
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what is loculated |
fluid adheres to certin areas |
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when are xrays done when consering lung volumes |
end expiration |
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with low lung volumes what will xray look like |
heart big, mediastinum wide, can miss atelectasis effusion and severity of them |
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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 |
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what is penetation efected by |
duration of exposure and power o the beam |
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the more power how does it effect penetation |
the more penetrated. |
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over penetrated vs underpenetrated |
over penetrated is dark, underexposure is white |
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system of reading xray |
name date time, lines tubes drains, lung, heart, mediastinum, diaphragm |
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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 |
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a pneumothroax will push everything where |
to the unaffected side |
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when putting in an ett where should the tip be |
below level of clavicle and 2-4 cm above carina |
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ett too high puts pt at ris k for |
vocal cord injury or accidental extubation |
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when putting in chest tube where should it be positioned |
up toward apex, make sure holes are in chest cavity |
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difference on xray between pacer and aicd |
aicd has thickened coils |
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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 |
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how should the sbft look on xray |
below diaphram, head left then ight, cros midline tip points away form ge junction |
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what would healed rib fractures look like |
thickening or calcified part of rib |
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what does subcutaneous emphysema look like |
dark streaks area in tissue |
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why are breast shadows important |
look for asectomy and inquire about poassible metastesis |
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when you see a medistnal mass what do you want to rule out |
largge heart or dilated artery |
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when you find a mediastinal mass what should you do |
order a lateral to classify and f/u with vt or mir |
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air in mediastinum |
pneumomediastinum |
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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 |
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differentite pnumomediastinum between pneumopericardium |
pneumomediastinum disects into neck |
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air in peicardium |
pneumopericardium |
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best to diagnose pericardial effusion |
echo |
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tension pneumothoax qualities |
shifts everythig to unaffeted side, diaphragm is flat |
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sulcus s ign |
large volume of air in chest cavity |
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what indicats a pneumothroax |
deep sulcus sign when laying down/ apical pneumo in a supine pt |
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apical pneumo in a supine pt can indicae what |
large volume of air |
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what does pleural effusion look lke |
diaphram becomes hazy difficult to see adn disappears, hainess all ovr |
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what does lung abnormlaities appear as |
increased denisty |
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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 |
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classic pulmonary edema appearance |
bat wings ( increased in pulmonary vasculature |
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interstitial edema in what pt |
chf |
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define ards |
constellation of clinical and radiographical sign and symptoms reflecting pulmonary edema in the abscence of elevated pulmonary venous pressure |
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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) |
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what is a hilum |
root of lung where bbunch of vesels are coming out of the lung, left hlum is higher than right |
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what might you find in the hilar area |
lymphnodes |