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30 Cards in this Set

  • Front
  • Back

What is the relationship of the following planes and baselines to the IR when the skull is positioned true lateral?


IPL


MCP


MSP


IOML

Perpendicular


Perpendicular


Parallel


Parallel

What planes and baselines are perpendicular to the IR when positioning the skill for a PA projection?

MSP and OML

What is the routine for a skull at JBH?

PA Towne and lateral of affected side

What is another name for a Towne skull?

Grashey or AP axial projection

Where are the Petrous ridges projected in each of the following positions?


PA


PA axial/Caldwell

Filling orbit


Lower 1/3 orbit

Where does the CR enter for each of the following?


Lateral


PA


PA axial/Caldwell


Towne


Sella Turcica

2” above EAM


Nasion


Nasion


3” above nasion (hairline)


3/4” anterior and 3/4” superior to EAM

What is another name for the submentovertical?

SMV, Basilar and Schuller method

What does the Towne demonstrate?

Foramen magnum, occipital bone and posterior portion of the parietals

What is the direction of the CR on a SMV? What structure does it pass through?

From the submental area between the angles of the mandible to the vertex of the skull. The CR passes through the sella turcica.

Where does the CR exit on a Grashey skull?

Base of the skull, through the foramen magnum

For a Towne/Grashey skull:


What is the degree of angulation and direction of the CR when the OML is perpendicular to the IR?


When the IOML is perpendicular to the IR?


Where does the CR enter for both?

30 degrees caudal


37 degrees caudal


2 1/2-3” above nasion (hairline)

What does the Caldwell skull demonstrate?

Petrous ridges in the lower third of the orbit, crista galli, dorsum sellae, posterior ethmoid air cells, frontal bone (and upper orbit) and frontal sinuses and anterior ethmoidal air cells.

What does the PA skull demonstrate?

Orbits filled with Petrous ridges, crista galli, dorsum sellae, posterior ethmoid air cells, frontal bone and frontal sinuses.

Describe the Haas position:


Patient position


Relationship of planes and baselines to IR


CR entrance/exit (and degree and direction)


Structures shown

Prone or PA upright


MSP and OML perpendicular to IR


Direct CR 25 degrees cephalad, entering 1 1/2” below EOP and exiting 1 1/2” above nasion


Posterior clinoid processes and dorsum sellae projected through the foramen magnum, the occipital bone and posterior portion of the parietals.

When doing an SMV what structures will be demonstrated when the technical factors are decreased?

Zygomatic arches

Where should the mandibular condyles be in relationship to the Petrous ridges on a SMV?

Anterior

What determines if rotation is or isn’t present on a PA skull image?

The distance between the lateral border of the orbit and the lateral border of the skull equal on both sides.

Lateral skull

Sella turcica in profile


Superimposed halves of the skull

Caldwell

Frontal bone and upper orbit


Crista galli

PA skull with 20-25 caudal angle

Superior orbital fissure

PA skull with a 25-30 caudal angle

Foramen rotundum

PA skull with perpendicular CR

Petrous ridges filling the orbits


Crista galli


Grashey/Towne

Dorsum sella in the shadow of the foramen magnum

SMV

Foramen ovale and spinousum


Foramen magnum in its entirety

Cross table lateral skull

Sphenoid sinus effusion which indicates basilar skull fracture

Where does the CR enter for a SMW projection?

Enters the submental area (between gonion) 3/4” anterior to EAM

What baselines/planes are parallel/perpendicular to the IR for the SMV?

IOML parallel to IR, MSP perpendicular to IR

What is the CR entrance and angle for a Caldwell skull?

15 degrees caudal exiting nasion

What are the evaluation criteria to determine rotation on a lateral skull?

Sella turcica in profile laterally, superimposed orbital roofs, mastoid region, EAM and TMJs. (Sella in profile laterally, mandibular rami superimposed, orbital roofs superimposed)

What does a cross table lateral skull demonstrate that makes it a valuable projection when imaging a trauma patient?

Demonstrates a sphenoid sinus effusion which indicates a basilar skull fracture