Chest X-ray Flashcards
1
Q
What are the types of CXR?
A
AP
PA
2
Q
What is the difference between AP + PA?
A
AP
- film taken anterior -> posterior
- heart is larger (cannot comment that acurately on cardiomegaly)
PA
- film taken posterior -> anterior
- heart is smaller
3
Q
What is the first thing you do?
A
Details
- name
- date taken
- AP or PA
4
Q
How do you assess the adequacy of the film?
A
RIPE
Rotation
Inspiration
Penetration
Exposure
5
Q
How do you comment on rotation?
A
Clavicles should be level
Clavicles should be equidistant from spinous processes
6
Q
How do you comment on inspiration?
A
6 anterior ribs
8 posterior ribs
7
Q
How do you comment on penetration?
A
See vertebral bodies through cardiac shadow
8
Q
How do you comment on exposure?
A
Need to see
- above apices
- below costophrenic angles
- either side of chest wall
9
Q
What is the approach for looking at the CXR?
A
ABCDE
10
Q
What is A?
A
Airways
11
Q
What do you look for in A?
A
Trachea
- central (follows spinous processes)
- free of foreign bodies
12
Q
What level should the carina divide at?
A
T4
13
Q
What is B?
A
Breathing
14
Q
What do you look for in B?
A
Lung markings - go all the way to pleural edge
15
Q
What is C?
A
Cardiac
