Fall Procedures 2 Flashcards
1
Q
Costotransverse jt is made of?
A
Thoracic vertebra and transverse process rib
2
Q
LPO projection of sternum places sternum where
A
In heart shadow
3
Q
Breathing instructions for upper ribs
A
Inspiration
4
Q
Joints in the costo cartilage
A
Interchondral
5
Q
Projection demonstrates axillary portion of rib cage?
A
Obliques
6
Q
CR Of upper ribs
A
Perpendicular at level of T7
7
Q
Tubercle of rib articulates with what structure? Making what jt?
A
Transverse process of vertebra
Costotransverse
8
Q
Pt can’t lay prone for sternum image, so what position can be done?
A
LPO sternum
9
Q
Ribs 1-7 attach to what bone anteriorly?
A
Sternum
10
Q
Evaluation for PA Projection and supine CHEST
A
Entire lung fields (apices to costophrenic angles), no rotation, scapula out of lung field, 10 ribs, heart and diaphragm sharp outlines, rib and thoracic shadows through heart shadow, lung markings
11
Q
Head of rib and body of vertebra create what jt?
A
Costovertebral
12
Q
Top of IR when doing lateral sternum?
A
1 1/2 inches above jugular notch
13
Q
How much rotation for oblique ribs
A
45
14
Q
RAO/LAO which side is best demonstrated
A
Closest
15
Q
To demonstrate posterior ribs what projection do you do?
A
Ap lower ribs
16
Q
Ribs 8-10 attach to what anteriorly
A
Costal cartilage of 7th rib
17
Q
Ap toes
A
15 degrees
18
Q
AP Axial Foot
A
10
19
Q
Ap axial clavicle
A
Standing 0-15
Supine 15-30
20
Q
For pelvis for femoral necks (ap oblique modified cleaves) how much will pt abduct thighs? Equal on each side?
A
45 and yes
21
Q
Pelvis for femoral necks ap oblique cleaves do you want to see femoral neck not Si by?
A
Great per trochanter
22
Q
Pelvis acetabulum- internal- unaffected side?
A
Up
23
Q
Pelvic outlet(Taylor method) shows what anatomy?
A
Rami
24
Q
Pelvis acetabulum external oblique, affected side up or down?
A
Down
25
Pelvic inlet bridgeman shows what anatomy?
Pelvic ring
26
How are pts legs for lateral hip (lauenstein and hickey?)
Flexed and drawn up to almost 90 degree angle with hip
27
Evaluating lateral hip angulation in hickey method does what to femoral neck?
Shows without superimposition
28
How to find femoral neck
Draw imaginary line from ASIS to pubic symphysis another dorm superior to greater trochanter to middle of first line. Femoral neck is on that line
29
Femur is the _____, _____, and ______ bone in the body
Longest, strongest, heaviest
30
Parts of distal end of femur
Medial and lateral condyle, patellar surface, inter condylar fossa, medial and lateral epicondyles, sesamoid - fabella
31
Parts on proximal end of femur
Head, neck
| Greater trochanter, lesser trochanter, fovea capitis, intertrochanteric crest, intertrochanteric line
32
Fovea capitis is for attachment of what
Ligaments
33
Intertrochanteric crest is located where
Posterior
34
Intertrochanteric line is located where?
Anterior
35
2 common fracture sites of femur
Femoral neck, intertrochanteric crest
36
Do you do femur projections Bucky or tabletop?
Bucky
37
AP femur CR
Perpendicular to mid femur
38
Ap femur what do you do if whole femur doesn't fit?
2 images
39
Ap femur when including the hip where do you place the IR
Top of IR at ASIS
40
Ap femur when including knee where do you place bottom of IR?
2 inches below knee jt
41
Ap femur how many degrees do you rotate leg? What does it do to neck of femur?
15-20 degrees elongates femoral neck. See it in profile
42
Ap femur how will epicondyles of femur be in relationship to IR?
Parallel
43
Ap femur including hip will lesser trochanter be seen?
No
44
Ap femur including hip which trochanter is shown in profile?
Greater
45
Ap femur including knee femoral epicondyles are what to the IR
Parallel
46
Lateral femur what type of projection is this?
Mediolateral
47
Lateral chest
Superior most ribs posterior to vertebral column arm or soft tissue not in lung field, long axis of lungs vertical without forward or backward leaning, lateral sternum, costophrenic angles, lower apices included, penetration of lungs and heart, open intervertebral disks, sharp outline of heart and diaphragm, hilum in center.
48
Rotation shows humeral head in profile
Neutral
49
Axiolateral Coyle pt bends Arm how many degrees to demonstrate coronoid process
80
50
View of elbow that demonstrates coronoid process
Internal oblique
51
Coyle method angle of tube to demonstrate coronoid process
45 degrees away from shoulder
52
Lateral femur cr
Perpendicular to mid femur
53
Lateral femur patella is seen how
In profile
54
Lateral knee what jt space is open?
Patellafemoral
55
Lateral femur epicondyles of femur are what to IR
Perpendicular
56
Lateral femur if pt is high risk of broken hip should you do this?
No
57
Pelvis hipbone is known as? 2 names
True and false
58
Why is the female and male pelvis different
Female is made for childbirth. Female wide light oval
59
True and false pelvis is divided by what? Called the ____ of pelvis
Oblique plane brim
60
Joints of the pelvis
Hip joint, pubic symphysis, sacroiliac jt
61
Rami are divided into
Superior and inferior
| Pubic and ischial
62
Ap pelvis what landmark can you feel for rotation
ASIS
63
Ap pelvis how much do you turn in the lower limbs and why?
15-20 degrees medially elongate femoral neck
64
Ap femur top of IR should be how many inches above iliac crest
1-1 1/2
65
Coyle method trauma elbow to demonstrate radial head pt flex arm how much
90 degrees
66
Homblad how much do you flex knee
70
67
Ap humerus demonstrated in profile
Greater tubercle humeral head
68
Lateral humerus demonstrated in profile
Lesser Tubercle
69
Ap neutral humerus top of IR goes
1 1/2 above humeral head
70
Ap scapula process seen?
Acromion
71
C1
Mastoid tip
72
C2,c3
Gonion
73
Why do we do a left lateral chest more than a right?
Places heart closer to IR less magnified heart image
74
Why do we xray patient in upright position
Prevent engorgement of vessels, allows gravity to depress diaphragm, shows air fluid levels
75
Where does trachea extend ? Structure it runs between
Larynx to bronchi
76
Why breathing technique allows us to visualize sternum
Blurs lung markings
77
Ribs clearly demonstrated on ap upper ribs
1-10
78
Why shoot on expiration when imaging lower ribs
Move diaphragm up
79
Ribs you use more chest technique and ribs you use more abdomen?
Upper chest
| Lower abdomen
80
Sid for lateral sternum
72
81
Pt places arms and hands for lateral sternum
Rotate shoulders back and lock hands behind back
82
View of sternum where is sternum is perpendicular to IR
True lateral sternum
83
3 segments of sternum
Many brim, body,xiphoid
84
Sternal angle is located where on sternum?
Between manubrium and body
85
Tip of sternum
Xiphoid
86
Why do an oblique sternum
Shows sternum without SI of vertebrae
87
30" Sid does what to pt dose?
Increases
88
RAO sternum which chest requires more angulation
Shallow requires more
89
2 respirations can be used for RAO sternum
Expiration, breathing technique
90
Ribs 8-12 called?
False ribs because they don't attach to sternum
91
Pt head for unilateral pa sc jt?
Torn head towards affected side
92
End of clavicle seen on PA sc jt?
Sterna extremity
93
Pelvis for femoral necks (ap oblique or modified cleaves) cr
IR 1 inch superior to public symphysis
94
Evaluating ap pelvis are lesser trochanters seen?
Very little to none
95
Evaluating AP pelvis what is shown in profile
Greater trochanter
96
Evaluating ap pelvis what structures will be symmetric ensuring no rotation?
ASIS
97
Pelvis for femoral necks (ap oblique or modified cleaves) how does patient place legs for this projection
Rotate the legs abductly 45 degrees "frog out wards"
98
Pelvis for femoral necks (ap oblique or modified cleaves) What can pt do to make this easier to hold
Turn feet inward and bare soles of feet together
99
Pelvis acetabulum external oblique how much do you rotate patients body
45 degrees
100
Trams thoracic lateral trauma Lawrence CR
Perpendicular to IR enter at level of surgical neck
101
Pa axial projection (camp Coventry) cr
Perpendicular to long axis of lower leg and centered to knee. Knee flexed 40 degrees tube 40 degrees
102
Pelvis acetabulum-internal oblique how much do you rotate patients body
45 degrees
103
What bones make the elbow joint
Proximal radius
Prox ulna
Distal humerus
104
Part of scapula humeral head sits
Glenoid cavity
105
Where's the IR for ap and lateral humerus go
1 1/2 above level of humeral head
106
Ap neutral humerus trauma part position
Palm on thigh, epicondyles 45 degrees
107
Ap neutral trauma humerus epicondyles
45 to IR
108
Navicular
Scaphoid
109
Lunate
Semilunar
110
Pisiform
No other names
111
Trapezium
Greater multangular
112
Trapezoid
Lesser multangular
113
Capitate
Os magnum
114
Lateral media lateral foot: what side does pt lie on ?
Affected
115
Lateral mediolateral calcareous pt lies on which side
Affected
116
For lateral toes 1&2 patient lies on which side
Unaffected
117
For lateral toes 3-5 patient will lie on which side
Affected
118
Names of malleoli where are they located?
Lateral malleolus- fibula
| Medial malleolus-tibia
119
Cr for RAO sternum
Perpendicular to IR enters elevated side at level of T7 approximately 1" lateral to MSP
120
Pa axial method holmblad cr?
Perpendicular to lower leg, midpoint of IR
121
Cr plantodorsal axial calcaneus
40 degrees cephalic and base of third metatarsal
122
Cr ulnar deviation
Perpendicular to scaphoid
123
Calcaneus dorsoplantar cr
40 degree caudal enters dorsal long axis of foot
124
Ap hip how much do you rotate the lower limb
15 - 20 elongates femoral necks
125
Evaluating ap hip what's in profile?
Greater trochanter
126
Ap hip do you see lesser trochanter
No
127
Axiolateral hip cr should pass through
Femoral neck
128
Axiolateral hip do you use a grid
Yes
129
Pelvis acetabulum external oblique cr
Center affected hip to IR. IR- perpendicular to IR and entering at pubic symphysis
130
Cr Ap axial clavicle
15-30 degree caudal mid clavicle
131
Axiolateral projection of hip we do this projection if the pt has a suspected?
Fracture
132
Axiolateral hip IR should be ____ with femoral neck
Parallel
133
Axiolateral hip what tool could be used to improve image and lessen chance of repeat
Compensating filter
134
Axiolateral hip entire ____ jt should be seen
Hip
135
Modified axiolateral hip cr
15 posterior enters femoral neck
136
Will you see rotation of sc jts on bilateral examination?
No
137
Lateral weight bearing lateromedial cr?
Perpendicular to just above base of third metatarsal
138
Sesamoid cr for holly method?
Perpendicular to head of first metatarsal
139
Sesamoid cr for the Lewis method
Perpendicular tangential to first Mtp joint
140
Ap wrist
Carpal inter spaces better shown
141
Unciform
Hamate
142
What do you see on ap foot
Foreign bodies
| Open joint spaces between medial and intermedia cuneiform
143
Angle on dorsoplantar calcaneus
40 caudal
144
Angle on plantodorsal calcaneus
40 cephalic
145
Medial oblique foot demonstrates
Cuboid
146
What bones make up shoulder jt
Proximal humerus, clavicle, scapula
147
Neer method pt position
Seated or standing facing board
148
Lateral boarder of scapula known as?
Axillary
149
Medial border of scapula known as
Vertebral border
150
Subtalar jt is seem on what image
Plantodorsal calcaneus
151
Lateral scapula posterior oblique when would you do this
Pt arm couldn't move
152
LAO / RAO lateral scapula patient position
Standing facing board, hands behind back. 40-60 rotation
