Flashcards in Fall Procedures 2 Deck (152)
Costotransverse jt is made of?
Thoracic vertebra and transverse process rib
LPO projection of sternum places sternum where
In heart shadow
Breathing instructions for upper ribs
Joints in the costo cartilage
Projection demonstrates axillary portion of rib cage?
CR Of upper ribs
Perpendicular at level of T7
Tubercle of rib articulates with what structure? Making what jt?
Transverse process of vertebra
Pt can't lay prone for sternum image, so what position can be done?
Ribs 1-7 attach to what bone anteriorly?
Evaluation for PA Projection and supine CHEST
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
Head of rib and body of vertebra create what jt?
Top of IR when doing lateral sternum?
1 1/2 inches above jugular notch
How much rotation for oblique ribs
RAO/LAO which side is best demonstrated
To demonstrate posterior ribs what projection do you do?
Ap lower ribs
Ribs 8-10 attach to what anteriorly
Costal cartilage of 7th rib
AP Axial Foot
Ap axial clavicle
For pelvis for femoral necks (ap oblique modified cleaves) how much will pt abduct thighs? Equal on each side?
45 and yes
Pelvis for femoral necks ap oblique cleaves do you want to see femoral neck not Si by?
Great per trochanter
Pelvis acetabulum- internal- unaffected side?
Pelvic outlet(Taylor method) shows what anatomy?
Pelvis acetabulum external oblique, affected side up or down?
Pelvic inlet bridgeman shows what anatomy?
How are pts legs for lateral hip (lauenstein and hickey?)
Flexed and drawn up to almost 90 degree angle with hip
Evaluating lateral hip angulation in hickey method does what to femoral neck?
Shows without superimposition
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
Femur is the _____, _____, and ______ bone in the body
Longest, strongest, heaviest
Parts of distal end of femur
Medial and lateral condyle, patellar surface, inter condylar fossa, medial and lateral epicondyles, sesamoid - fabella
Parts on proximal end of femur
Greater trochanter, lesser trochanter, fovea capitis, intertrochanteric crest, intertrochanteric line
Fovea capitis is for attachment of what
Intertrochanteric crest is located where
Intertrochanteric line is located where?
2 common fracture sites of femur
Femoral neck, intertrochanteric crest
Do you do femur projections Bucky or tabletop?
AP femur CR
Perpendicular to mid femur
Ap femur what do you do if whole femur doesn't fit?
Ap femur when including the hip where do you place the IR
Top of IR at ASIS
Ap femur when including knee where do you place bottom of IR?
2 inches below knee jt
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
Ap femur how will epicondyles of femur be in relationship to IR?
Ap femur including hip will lesser trochanter be seen?
Ap femur including hip which trochanter is shown in profile?
Ap femur including knee femoral epicondyles are what to the IR
Lateral femur what type of projection is this?
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.
Rotation shows humeral head in profile
Axiolateral Coyle pt bends Arm how many degrees to demonstrate coronoid process
View of elbow that demonstrates coronoid process
Coyle method angle of tube to demonstrate coronoid process
45 degrees away from shoulder
Lateral femur cr
Perpendicular to mid femur
Lateral femur patella is seen how
Lateral knee what jt space is open?
Lateral femur epicondyles of femur are what to IR
Lateral femur if pt is high risk of broken hip should you do this?
Pelvis hipbone is known as? 2 names
True and false
Why is the female and male pelvis different
Female is made for childbirth. Female wide light oval
True and false pelvis is divided by what? Called the ____ of pelvis
Oblique plane brim
Joints of the pelvis
Hip joint, pubic symphysis, sacroiliac jt
Rami are divided into
Superior and inferior
Pubic and ischial
Ap pelvis what landmark can you feel for rotation
Ap pelvis how much do you turn in the lower limbs and why?
15-20 degrees medially elongate femoral neck
Ap femur top of IR should be how many inches above iliac crest
Coyle method trauma elbow to demonstrate radial head pt flex arm how much
Homblad how much do you flex knee
Ap humerus demonstrated in profile
Greater tubercle humeral head
Lateral humerus demonstrated in profile
Ap neutral humerus top of IR goes
1 1/2 above humeral head
Ap scapula process seen?
Why do we do a left lateral chest more than a right?
Places heart closer to IR less magnified heart image
Why do we xray patient in upright position
Prevent engorgement of vessels, allows gravity to depress diaphragm, shows air fluid levels
Where does trachea extend ? Structure it runs between
Larynx to bronchi
Why breathing technique allows us to visualize sternum
Blurs lung markings
Ribs clearly demonstrated on ap upper ribs
Why shoot on expiration when imaging lower ribs
Move diaphragm up
Ribs you use more chest technique and ribs you use more abdomen?
Sid for lateral sternum
Pt places arms and hands for lateral sternum
Rotate shoulders back and lock hands behind back
View of sternum where is sternum is perpendicular to IR
True lateral sternum
3 segments of sternum
Many brim, body,xiphoid
Sternal angle is located where on sternum?
Between manubrium and body
Tip of sternum
Why do an oblique sternum
Shows sternum without SI of vertebrae
30" Sid does what to pt dose?
RAO sternum which chest requires more angulation
Shallow requires more
2 respirations can be used for RAO sternum
Expiration, breathing technique
Ribs 8-12 called?
False ribs because they don't attach to sternum
Pt head for unilateral pa sc jt?
Torn head towards affected side
End of clavicle seen on PA sc jt?
Pelvis for femoral necks (ap oblique or modified cleaves) cr
IR 1 inch superior to public symphysis
Evaluating ap pelvis are lesser trochanters seen?
Very little to none
Evaluating AP pelvis what is shown in profile
Evaluating ap pelvis what structures will be symmetric ensuring no rotation?
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"
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
Pelvis acetabulum external oblique how much do you rotate patients body
Trams thoracic lateral trauma Lawrence CR
Perpendicular to IR enter at level of surgical neck
Pa axial projection (camp Coventry) cr
Perpendicular to long axis of lower leg and centered to knee. Knee flexed 40 degrees tube 40 degrees
Pelvis acetabulum-internal oblique how much do you rotate patients body
What bones make the elbow joint
Part of scapula humeral head sits
Where's the IR for ap and lateral humerus go
1 1/2 above level of humeral head
Ap neutral humerus trauma part position
Palm on thigh, epicondyles 45 degrees
Ap neutral trauma humerus epicondyles
45 to IR
No other names
Lateral media lateral foot: what side does pt lie on ?
Lateral mediolateral calcareous pt lies on which side
For lateral toes 1&2 patient lies on which side
For lateral toes 3-5 patient will lie on which side
Names of malleoli where are they located?
Lateral malleolus- fibula
Cr for RAO sternum
Perpendicular to IR enters elevated side at level of T7 approximately 1" lateral to MSP
Pa axial method holmblad cr?
Perpendicular to lower leg, midpoint of IR
Cr plantodorsal axial calcaneus
40 degrees cephalic and base of third metatarsal
Cr ulnar deviation
Perpendicular to scaphoid
Calcaneus dorsoplantar cr
40 degree caudal enters dorsal long axis of foot
Ap hip how much do you rotate the lower limb
15 - 20 elongates femoral necks
Evaluating ap hip what's in profile?
Ap hip do you see lesser trochanter
Axiolateral hip cr should pass through
Axiolateral hip do you use a grid
Pelvis acetabulum external oblique cr
Center affected hip to IR. IR- perpendicular to IR and entering at pubic symphysis
Cr Ap axial clavicle
15-30 degree caudal mid clavicle
Axiolateral projection of hip we do this projection if the pt has a suspected?
Axiolateral hip IR should be ____ with femoral neck
Axiolateral hip what tool could be used to improve image and lessen chance of repeat
Axiolateral hip entire ____ jt should be seen
Modified axiolateral hip cr
15 posterior enters femoral neck
Will you see rotation of sc jts on bilateral examination?
Lateral weight bearing lateromedial cr?
Perpendicular to just above base of third metatarsal
Sesamoid cr for holly method?
Perpendicular to head of first metatarsal
Sesamoid cr for the Lewis method
Perpendicular tangential to first Mtp joint
Carpal inter spaces better shown
What do you see on ap foot
Open joint spaces between medial and intermedia cuneiform
Angle on dorsoplantar calcaneus
Angle on plantodorsal calcaneus
Medial oblique foot demonstrates
What bones make up shoulder jt
Proximal humerus, clavicle, scapula
Neer method pt position
Seated or standing facing board
Lateral boarder of scapula known as?
Medial border of scapula known as
Subtalar jt is seem on what image
Lateral scapula posterior oblique when would you do this
Pt arm couldn't move