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PA -anterior side BEST SEEN AP -posterior side BEST SEEN

Ribs 2012- pt 2 POSITIOINING (review). PA -anterior side BEST SEEN AP -posterior side BEST SEEN. AP OBLIQUES LPO RPO (May also include PA CHEST for lungs). PA OBLIQUES RAO LAO. RIBS (Projections & Positions). Exam done : UNILATERAL or BILATERAL

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PA -anterior side BEST SEEN AP -posterior side BEST SEEN

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  1. Ribs 2012- pt 2POSITIOINING (review) PA -anterior side BEST SEEN AP -posterior side BEST SEEN

  2. AP OBLIQUES LPO RPO (May also include PA CHEST for lungs) PA OBLIQUES RAO LAO RIBS (Projections & Positions) • Exam done : UNILATERAL or BILATERAL • AD (above diaphram) & BD – (below diaphram)

  3. BEST SEEN - RIBS • AP - posterior ribs (AD/BD) • PA - anterior ribs (AD/BD) • OBLIQUES • RAO / LPO : • LT axillary ribs + RT post rib art w/spine • LAO / RPO • RT axillary ribs + LT post rib art w/spine

  4. UNIT 3 RT 122TECHNIQUE CONSIDERATION RIBS : UNILATERAL OR BILATERAL SHORT SCALE CONTRAST NEEDED BONY DETAIL • AD – above diaphram • 60 – 70 KVP – INSPIRATION • BD – below diaphram • 70 KVP + 3-4 x more mAs (ABD) • EXPIRATION

  5. Routine: Bilateral RIBS • Must include : BOTH sides (RT & LT) • TOP & Bottom (AED & BD) • AP or PA • OBLIQUES • LPO (RAO) • RPO (LAO) • (May also include PA CHEST for lungs) ↑ kVp for lungs (90-120)vs kVp bony ribs (60-80)

  6. PA for Chest or Bilat RIBS (AD)

  7. BILAT – AD (upright) 14 x 17 LW CW Centering – same as CXR MSP + T 7

  8. (AP) BILATERAL - AD

  9. Deep Inspiration Why?

  10. INSPIRATION vs EXPIRATION

  11. Why do AP vs PA projection? PA AP

  12. BILAT (BD) 11X14 CW OR 14 x 17 LW Centering – (similar to upper ABD) MSP + L-1 (Bend of Rib) Top of light 1 – 2 “ above xyphoid Bottom of light 1 – 2 “ below IC

  13. OR Upright

  14. SUPINE AP BILATERAL RIBS AD BD

  15. AD – INSP BD - EXP

  16. AP Bilat – OBLIQUE (AD) Position? Demonstrates? CR ~ ½ way between MSP/MCP (side up) or ~ 2” lat to MSP (side up)& T7 (AD)

  17. LAO VS RPO

  18. Taken “AP” Position? Demonstrates?

  19. PA Bilat – OBLIQUE (AD) Move both arms out of the way This position not tested in lab

  20. BILATERAL OBLIQUES (bd)

  21. OBL – BDBILAT VS UNILAT

  22. AP- UNILATERALAD(LEFT) RIBS

  23. AP UNILATERAL (LT RIBS) AD BD

  24. UNILATERAL – LT RIBSAP AD BD

  25. LAO/RPO for the RT RIBSUPSIDE = PA AWAY DOWNSIDE = AP TOWARD (SIDE OF PAIN)

  26. LAO VS RPO

  27. LPO/RAO – For LEFT Ribs RAO

  28. UNILATERAL (LEFT RIBS) – ADLPO –AXILLARY RPO –LT POST ART

  29. LPO vs RAO AD/BD

  30. UNILAT – LEFT(LPO) (BD)

  31. LPO/RAO – For LEFT Ribs RAO

  32. LPO vs RAO AD/BD

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