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Chest X-rays & Abdominal Plain Films… Shervin Rafie, MD Check List Identify Film: patient name, date and study Inspiration: 9-10 posterior ribs above right hemidiaphragm Position: upright (gastric air-fluid level) Exposure:bronchovascular structures visible through heart and diaphragm Rotation: line through spinous processes bisects line between clavicular heads PA vs AP PA: clavicles appear lower, scapulae project more laterally, posterior elements of vertebral bodies clearer AP: magnifies heart AP PA Chest X-Rays: The Yellow Brick Road ABC’s…D & E  Air: lungs, including central airways & pulmonary vessels  Bones: ribs, clavicles, spine, shoulders, scapulae  Cardiac: heart & mediastinum  Diaphragm & pleural surfaces  Everything else: lines & tubes, upper abdomen, soft tissues of chest wall and neck Air Air Space vs Interstitial disease pattern Air Space/alveolar disease pattern: aka consolidation  Fluid density in alveoli  Signs: inhomogenous, patchy opacities, air bronchograms (bronchi surrounded by opaque alveoli)  Causes: usually acute/subacute- bacterial pna, cardiogenic & noncardiogenic pulmonary edema, aspiration, pulmonary hemorrhage Alveolar Disease Air  Interstitial Disease pattern: aka reticular/reticulonodular  Fluid density in interstitium  Signs: diffuse white lines throughout lungs, with or without tiny white nodules  Causes: usually subacute/chronic- pulmonary fibrosis, sarcoidosis, Metastatic carcinoma (lymphangitic), occupational lung dz (abestosis, silicosis) Exceptions: cardiogenic pulmonary edema & atypical pneumonia (viral, mycoplasma, miliary TB, histoplasmosis) Interstitial Disease Mycoplasma pna

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(pneumothorax, pleural effusion, traction (scarring). Signs: displaced Plate-like atelectasis .. Narrowed lumen, thickening folds, “thumb printing”,.

Chest X-rays & Abdominal Plain Films… PDF

137 Pages·2015·2.99 MB·English

by Nastassia Valenzuela

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by Nastassia Valenzuela| 2015| 137 pages| 2.99| English

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(pneumothorax, pleural effusion, traction (scarring). Signs: displaced Plate-like atelectasis .. Narrowed lumen, thickening folds, “thumb printing”,.

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Author:	Nastassia Valenzuela
Publication Year:	2015
Pages:	137
Language:	English
File Size:	2.99
Format:	PDF
Price:	FREE

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