rt 124 spring image review pt 2 n.
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ABD & CHEST 2

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Rt 124 – Spring Image Review pt 2. ABD & CHEST 2. Position & Projection. Look at blocker for PROJECTION Look at air/fluid levels for Upright vs Supine vs Decubitus Look at Pathology: Excessive Fluid or Air indicates pathology and may need adjustment in technique. Projection ? AP.

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Presentation Transcript
position projection
Position & Projection
  • Look at blocker for PROJECTION
  • Look at air/fluid levels for
  • Upright vs Supine vs Decubitus
  • Look at Pathology:
  • Excessive Fluid or Air indicates pathology and may need adjustment in technique
slide6
Projection ?APREMEMBER TO MOVE CARDIACMONITOR WIRES OUT OF THE WAYPathologynote bilateraleffusion both bases
slide8
LAT UPRIGHTON GURNEYNOTE AIR /FLUID LEVELSNote poor positioning ofCR to part(cr too low & too anterior – not at mcp
slide9
Position ?Projection?AP semi uprightnote – fluid levels in RT lung what else is needed?Decubs –for fluid levels
slide10

Position / Projection?Projection – cant’ tell because no blockerPosition – LLD1) look for the humerus that is raised2) look for fluid levels3) note: poor centering for upside of image

slide11

Position / Projection?Projection – AP

blocker lower RTPosition – RLD 1) look for the humerus that is raised2) look for fluid levels3) poor marker placement – label of image

look for fluid levels

abdomen

ABDOMEN-

SUPINE – UPRIGHT - LLD

slide20

KUB –POST CT SCANRESIDUAL CONTRAST IN COLON AND KIDNEYSDARK LINE ACROSS ABDOMEN???FROM COMPRESSED SOFT TISSUE –TIGHT WAISTBAND OF CLOTHING

slide21

Case example of

SUPINE – upper & KUB Upright

Should have collimated to upper abd – not exposed lower abd twice

(repeated – diaphram clipped)

ap chest cr too cephalic pt kyhphotic need to change cr direction to maintain to sternum
AP ChestCR – too cephalic PT kyhphotic –need to change CRdirection to maintain ┴ to sternum
also review images on first presentation

Also review images on first presentation

Written test on Tues

Lab on Thursday

projection postion
Projection?Postion?

PA – according to blocker

Supine – no air fluid levels

slide49
What is thisstep laddersign indicate for pathology?Obstructionsee air-fluid levels Position?Upright!
slide50
Small bowel obstruction-remember toinclude all areas of the abdomenwhat could have improved this image?2 cross wise14 x 17
slide52
AP Chest –

CR too low

Collimation too open

KVP too low – too short of contrast

Lat –

CR too forward –

Sit pt up more

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