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49 Cards in this Set

  • Front
  • Back

AP CHEST: supine or semierect

angle CR to be perpendicular to sternum (5 caudad) to prevent clavicles from obscuring the apices @ T-7

LATERAL DECUB FOR CHEST

demonstrates air/fluid levels when patient cannot stand


T-7


air up/fluid down


mark "side up"

AP LORDOTIC FOR CHEST

used to rule out masses and calcifications under clavicles


T-7


if patient cannot assume the position, angle tube 15-20 cephalic

OBLIQUES FOR CHEST

patient rotated 45


RAO, LAO, RPO, LPO


T-7


anterior obliques show side

up

posterior obliques show side

down

LAO angle that best demonstrates the heart

45-60

best demonstrates right lung

RPO


LAO

best demonstrates left lung

LPO


RAO

LATERAL DECUBITUS ABDOMEN

CR: 2" above crest


left decub to remove peritoneal air from the gastric bubble

DORSAL DECUBITUS ABDOMEN

CR: 2" above crest


demonstrates aneurysms, calcifications of aortas, or umbilical hernias


demonstrates aneurysms, calcifications of aortas, or umbilical hernias

dorsal decubitus abdomen

PA SCAPHOID


ANGLE AND ULNER DEVIATION

angle CR 10-15 proximally @ scaphoid


demonstrates fractures of the scaphoid


opens up carpals on radial side of wrist

opens up carpals on radial side of wrist

PA SCAPHOID


angle and ulner deviation

CR angle for PA SCAPHOID


angle and ulner deviation

10-15

PA SCAPHOID


hand elevated and ulner deviation

"modified stecher method"


demonstrates fracture of the scaphoid


hand is elevated 20 on sponge


CR @ scaphoid

tangential inferosuperior projection wrist

carpal canal (tunnel)

carpal canal

"gaynor hart method"


rule out calcifications in the carpal sulcus


rule out carpal tunnel syndrome


dorsiflex hand to place palmar surface perpendicular to IR


rotate hand internally 10 to unsuperimpose pisiform and hamate


CR 25-30 to long axis of hand @ base of 3rd mcp

rule out calcifications in the carpal sulcus

carpal canal

tube angle for carpal canal

25-30 to long axis of hand

positioning for carpal canal

dorsiflex hand to place palmar surface perpendicular to IR


rotate hand internally 10 to unsuperimpose pisiform and hamate

AP elbow when arm cannot be fully extended

two projections:


one with forearm parallel to IR


one with humerus parallel to IR


CR @ midelbow

trauma axial laterals

coyle


demonstrates radial head and coronoid process when a patient cannot fully extend arm for oblique elbows


for radial head- elbow 90, cr 45 towards shoulder @ radial head


for coronoid process- elbow 80, cr 45 from shoulder @ midelbow

demonstrates radial head and coronoid process when patient cannot fully extend arm for oblique elbows

trauma axial laterals

trauma axial laterals for radial head

elbow 90


hand pronated


angle 45 towards shoulder


CR @ radial head

trauma axial laterals for coronoid process

elbow 80


hand pronated


angle 45 from shoulder


CR @ midelbow

inferosuperior axial (nontrauma) shoulder

lawrence


hill sachs defect


pt supine with shoulder raised 2", arm abducted 90, and hand externally rotated


tube angled medially 25-30, centered at axilla and humeral head

demonstrates hill sachs defect

inferosuperior axial (nontrauma) shoulder


lawrence

patient position for lawrence

patient supine


shoulder raised 2"


arm abducted 90


hand externally rotated

CR for lawrence

25-30 tube angle centered horizontally to axilla and humeral head

posterior oblique position-glenoid cavity


nontrauma shoulder

grashey


best shows shoulder joint


rotate body 35-45 toward affected side


abduct arm slightly


CR @ scapulohumeral joint (2" inferior and medial to suprolateral border)


place scapula parallel to IR

best shows shoulder joint

grashey

how much rotation for grashey (nontrauma shoulder)

35-45

CR: grashey (nontrauma shoulder)

scapulohumeral joint


(2" inferior and medial to suprolateral border)

FISK

tangential projection


interubercular (bicipital) groove


hand supinated


CR: 10-15 from vertical or horizontal

transthoracic lateral projection


trauma shoulder

trauma lawrence


breathing technique


side of interest against IR with unaffected arm raised and slightly anteriorly rotated


elevate unaffected arm to unsuperimpose humeral heads


if patient is unable to, angle 10-15 cephalic

patient position for transthoracic lateral


trauma shoulder

side of interest against IR


unaffected arm raised and slightly anteriorly rotated, to unsuperimpose humeral heads

tangential projection


sesamoids toes

dorsiflex foot to place plantar surface 15-20 angle from vertical


CR: 1st MTP joint

CR: sesamoid toes (tangential)

1st MTP joint

demonstrates longitudinal arches

ap and lateral weight bearing foot

ap and lateral weight bearing foot

demonstrates longitudinal arch


AP: angle CR 15 posteriorly to level of base of metatarsals


LATERAL: CR to level of base of 3rd metatarsal

CR: lateral weight bearing foot

base of 3rd metatarsal

CR: ap weight bearing foot

15 posteriorly to enter between feet at level of base of metatarsals

demonstrates ankle joint separation from ligament tear

AP stress ankle


inversion and eversion


CR: midway between malleoli

CR: AP stress ankle

midway between malleoli

oblique tib fib

45 internal and external rotation


CR: midpoint of leg

PA axial projection


intercondylar fossa

camp coventry


flex knee 40-50


CR: perpendicular to lower leg



holmblad


on all fours leaning 20-30 forward


CR: perpendicular and centered to midpopliteal crease

holmblad

on all fours leaning forward 20-30


CR: perpendicular and centered to midpopliteal crease

camp coventry

flex knee 40-50


CR: perpendicular to lower leg