X-Ray Flashcards
(24 cards)
What are the parts of assesing an X ray? (3)
- Demographics
- Radiograph detail (RIPE)
- Interpretation (ABCDE)
What demographics should be checked for in an X ray? (3)
- Patient details (name/DOB)
- Date and time
- Previous films
What does RIPE stand for for radiographic detail? chest x ray
R- rotation
I - Inspiration
P - PA
E - exposure
Inspiration (4)chest x ray
- 5-6 anterior ribs visible above diaphragm
- Costodiaphragmatic recesses
- Scapula out of way
- Lateral rib edges
P? chest x ray
PA
Exposure? chest x ray
Vertebral bodies visible through cardiac shadow
What does ABCDE inerpretation stand for? chest x ray
- Airway
- Breathing
- Circulation
- DIaphargm
- Extra (bones, soft tissues)
What should be checked for in the airway of an X ray?
- Trachea
What does the trachea deviate towards in an xray? (2)
- Lobar collapse
- Consolidation
What does the trachea deviate away from in an xray? (2)
- Effusion
- Pneumothorax
What should be checked for in the breathing of an X ray?
- Lung fields (compare in thirds)
- Pleural thickening
- Hilar region
What is checked for in the hilar region? (3)
- Lymphadenopathy
- Masses
- Calcification
What should the lung fields be checked for? (5)
- Air=peumothorax
- Fluid=effusions
- Consolidation=infection inflammation
- Lobar collapse
- Tumour lesions
What is normal to see at edges of lung borders very laterally?
Some cloudyness=lung border
Features of consolidation (3)
- No mediastinum shift
- More patchy
- Non uniform soft tissue density
How is an abnormality described? chest x ray
- Density (bone/soft tissue/fat/air)
- Uniform/non uniform
- Position (zone, L/R, lobe)
- Size and borders
What is the upper zone on a chest x ray?
Above 2nd anterior rib
What is the middle zone on a chest x ray?
Between 2nd-4th anterior rib
What is the lower zone on a chest x ray?
Below 4th anterior rib
How to tell if lower lung lobe effected?
Diaphargm effected
How to tell if middle lung lobe effected?
Cardiac border effected (on L called lingula)
What is checked for in circulation in a chest x ray?
- Heart size (50% cardiothoracic ratio)
- Position: displaced in collapse/effusion
- Shape and borders
- Great vessels (with knuckle)
- Mediastinal width 8cm
What is checked for in disaphragm on a chest x ray?
- Position (right higher due to liver)
- Shape
- Costophrenic angles
What extra things are checked for in disaphragm on a chest x ray?
- Bones: fractures
- Soft tissues: swelling/air
- Calcification of aorta
