PA oblique sternum Flashcards
1
Q
- At what vertebral level is the jugular notch located?
A
T2-T3
2
Q
- At what vertebral level is the sternal angle located?
A
T4-T5
3
Q
- At what vertebral level is the xiphoid process?
A
T9-T10
4
Q
- What position should be performed to best demonstrate the sternum and why?
A
RAO to get sternum over heart shadow
5
Q
- Where should the sternum be demonstrated in the above image?
A
over heart shadow, on left side of body
6
Q
- What is the proper SID for this image and why?
A
30” because it causes greater blurring of other structures, posterior ribs, allows us to see sternum better
7
Q
- How much is the patient rotated?
A
15-20 degrees
8
Q
- Where should the top of the IR be placed?
A
1.5” above jugular notch
9
Q
- What is the central ray location?
A
Level of T7, 1” lateral of MSP on elevated side
10
Q
- What breathing instructions are preferred for the PA oblique sternum and why?
A
Breathing technique, slow shallow breathing, expose after expiration
Blurs out lungs
11
Q
- Upon image review, you notice that the manubrium is superimposed by the vertebrae. What error was made?
A
Under rotated
12
Q
- If a sternum radiograph is requested on a trauma patient, what projection/position can be done? How can you adjust if the patient is unable to be rotated?
A
AP LPO
