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Bony Thorax
positioning
49
Health Care
Professional
02/06/2011

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Cards

Term
What oblique is performed for the sternum?
Definition
RAO
Term
Why do you do an RAO sternum?
Definition
To place the sternum in the heart shadow and away from the t-spine
Term
How much do you oblique a patient for an RAO sternum?
Definition
Large, deep chested 15 degrees, thin chested 20 degrees
Term
Where do you place the IR for an RAO of the sternum?
Definition
1 1/2 in above the jugular notch
Term
What is the SID for an RAO of the sternum?
Definition
40 in
Term
If the patient can not do the RAO position, what adaptation can be made?
Definition
LPO
Term
How do you know you have the correct patient rotation?
Definition
The sternum is right beside the vertebral column, superimposed over the heart shadow
Term
What is the SID for a lateral sternum?
Definition
60-72 in to reduce magnification due to increased OID
Term
Where do you place the IR for a lateral sternum?
Definition
1 1/2 in above the jugular notch
Term
Where is the CR centered?
Definition
midway between the jugular notch and the xiphoid process
Term
What size IR do you use for PA SC joints?
Definition
8x10
Term
Where do you center the IR for PA SC joints?
Definition
3 inches distal to the vertebral prominens, T2-T3
Term
How far do you rotate your patient for oblique SC joints?
Definition
10-15
Term
Where you you place the central ray for oblique SC joints?
Definition
3 in distal to the vertebral prominens and 1-2 in lateral(to the upside) of the MSP
Term
What side SC joints are best visualized in RAO and LAO SC joints
Definition
downside
Term
Which side is best visualized in an RAO postition of the SC joints?
Definition
right side
Term
Which side is best demonstrated on an LAO position of the SC joints?
Definition
left
Term
What size IR do you use for a Rib exam
Definition
14x17
Term
What is the preferred position for ribs above the diaphragm?
Definition
erect
Term
What should you do to remove the patients scapulae from the lung fields
Definition
roll shoulder forward
Term
Where is the central ray placement for above the diaphragm ribs?
Definition
3-4 in below the jugular notch, level of T7
Term
Where is the top of the IR for above the diaphragm ribs?
Definition
1 1/2in above the shoulders
Term
What is the SID for above the diaphragm ribs?
Definition
40 in
Term
What are the breathing instructions for above the diaphragm ribs?
Definition
Suspended on inspiration
Term
how do you place the IR for bilateral ribs
Definition
crosswise
Term
How do you place the IR for unilateral ribs?
Definition
lengthwise
Term
What ribs should be visualized for above the diaphragm ribs?
Definition
1-10
Term
Where is the CR placement for below the diaphragm ribs?
Definition
Midway between the xiphoid process and the lower ribs
Term
What ribs are visualized on a below the diaphragm rib film?
Definition
8-12
Term
Where do you place the film for a below the diaphragm film?
Definition
Bottom of IR at the top of the crest
Term
How do you orient your film for oblique ribs?
Definition
lengthwise
Term
What size film do you use for oblique ribs?
Definition
14x17
Term
how much do you rotate the patient for oblique ribs?
Definition
45 degrees
Term
What is the central ray placement for oblique ribs above the diaphragm?
Definition
Cr is perpendicular to the IR, centered midway between the lateral margin of the ribs and the spine, 3-4in below the jugular notch
Term
What is the central ray placement for oblique below the ribs?
Definition
CR is perpendicular to the IR, centered midway between the spine and lateral margin of the ribs, center midway between the xiphoid process and the lower rib cage
Term
How should you collimate when performing bilateral ribs?
Definition
To the outer margins of the IR
Term
If you have an injury to the posterior ribs what PROJECTION do you do?
Definition
AP Projection
Term
If you have an injury to the anterior ribs, what PROJECTION do you do?
Definition
PA Projection
Term
When performing a posterior oblique of the ribs, what side is best visualized?
Definition
Side toward the IR, downside
Term
When preforming anterior oblique ribs, which side is best visualized?
Definition
The side away from the IR, or the side up
Term
If the patient has an injury to an anterior upper rib on the right side, which oblique do you do?
Definition
LAO above the diaphragm
Term
If a patient has an injury to a left anterior upper rib, which oblique do you do?
Definition
RAO above the diaphragm
Term
If a patient has an injury to a posterior right lower rib which oblique do you do?
Definition
RPO below the diaphragm
Term
If a patient has an injury to their left posterior upper ribs, which oblique do you do?
Definition
LPO above the diaphragm
Term
If a patient has an injury to the left anterior lower ribs, which oblique do you do?
Definition
LAO below the diaphragm
Term
What projection do you do for an injury to the 9th anterior rib?
Definition
PA projection below the diaphragm
Term
What projection do you do for an injury to the 5th posterior rib?
Definition
AP Projection above the diaphragm
Term
What position do you place the patient in for an injury to the 12th rib?
Definition
PA Position below the diphragm
Term
What position do you place the patient in for an injury to the 2nd anterior rib?
Definition
AP position above the diaphragm
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