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Part 4 Boards X-ray > Lung > Flashcards

Flashcards in Lung Deck (31)
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1
Q

PA

A

98% of dx

2
Q

Lateral chest

A

Sternum

Isolation to see hiatal hernia

3
Q

Heart shadow is on

A

The Left

4
Q

Right side

A

3 lobes
Upper lobe = apex to bronchus
Middle lobe = bronchus to cardiophrenic angle
Lower lobe = everything below cardiophrenic angle

5
Q

Left side - 2 lobes

A

Left upper lobe = apex to cardiophrenic angle

Lower lobe = cardiophrenic angle to below

6
Q

Start above clavicels and compare

A

Side to side

7
Q

If one side white and one side dark white side is the problem - 2 possibilities

A

Pneumoia

Pancoast tumor

8
Q

White density goes well below clavicle with a straight line across
Productive cough (rusty brown sputum) for approx 10 days
Fever or recent hospital visit

A

Pneumonia

9
Q

White density with no shape

Associated with horner’s syndrome. Interruption of cervical sympathetics

A

Pancoast tumor

10
Q

Horner’s syndrome

A

Ptosis
Anhydrosis
Meiosis

11
Q

If missing vascular markings on both sides

A

Emphysema

12
Q

Radiographic findings emphysema

A
Bilateral darkened lung fields
Horizontal ribs
Stove pipe heart
Flattening of the diaphragmatic domes
Obliteration of the cardiophrenic angles
13
Q

Go to area of bronchi

Unilateral whitening and enlargement

A

Pneumonia

Bronchogenic carcinoma

14
Q

Consolidation of the lung

A

Pneumonia

15
Q

Has shape or go to case hx if no shape
Pt presents with productive cough for around 10 days and fever
Possible visit to hospital

A

Pneumonia

16
Q

No shape, so look at case hx - usually older
Long-term history of smoking (20-30 years)
Pt presents with coughing (non-productive) more than 30 days
Afebrile

A

Bronchogenic carcinoma

17
Q

Occasionally blood in cough

A

Bronchogenic carcinoma

18
Q

Bilateral whitening and enlargemnt on each side of bronchus

A

Sarcoidosis

19
Q

Unilateral hilar lymphadenopathy

A

Hodgkin’s lymphoma

20
Q

Well-circumscribed cannonball lesions

A

Pulmonary mets

21
Q

Tiny white spots throughout the lung

A

Tuberculosis

22
Q

Tuberculosis case management

A

Refer to authorities - CDC

23
Q

Pt presents with low-grade fever, night sweats, productive cough (yellow-green sputum)

A

Tuberculosis

24
Q

Small white lesions called Ghon lesions seen on x-ray

A

TB

25
Q

Postiive Tine test/Mantoux test
Purified protein derivative (PPD)
Just got back to states from 3rd world country

A

TB

26
Q

If heart shadow is larger than half the size of the chest

A

Cardiomegaly

27
Q

Gastric air bubble should be below level diaphragm, if not

A

Hiatal hernia

28
Q

Pt presents with gas, heartburn and indigestion

A

Hiatal hernia

29
Q

Vascular markings absent on one side

A

Pneumothorax

Atelectasis

30
Q

Go to side of bronchus darker in color

No vascular markings on the darker side

A

Pneumothorax on that side

31
Q

Go to side of the bronchus that is darker in color

Vascular markings on this side then the opposite side is the problem

A

Atelectasis