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Pediatric Radiography
Ch 19 for Radiologic Positioning
28
Health Care
Undergraduate 3
11/18/2010

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Cards

Term
What is a Pigg-O-Stat and what is it used for?
Definition
It's a commonly used immobilization apparatus for erect chest and abdomen procedures on infants and small children.
Term
What technique should always be used for pediatric patients and why?
Definition
Always use short exposure times and as high mA as possible to minimize image blurring that may result from motion.
Term
The primary centers of bone formation/ossification appear when and what are they called?
Definition
Appear before birth. And the primary centers  become diaphysis (shaft or body) of long bones.
Term
What is the name for the secondary center of ossification? And what does this center involve?
Definition
Epiphysis. And this secondary center usually involves the ends of long bones.
Term
What is the place called between the diaphysis and the epiphysis and is made up of cartilage?
Definition
The epiphyseal plate
Term
Where are the epiphseal plates found and how long can you find them there.
Definition
Found between the diaphysis and the epiphysis  until skeletal growth is complete upon full maturity, which is normally about age 25.
Term
What should always be done for a child before the image is taken.
Definition
Child should always be shielded with contact type shields.
Term
What safeguards should be used in radiation protection for the children?
Definition
Close collimation, low dosage techniques, and a minimum number of exposures.
Term
What must be done is the parent is remaining in the room for assistance?
Definition
The parent must be provided with lead gloves, lead apron, and MUST be asked (if female) whether she is pregnant.
Term
What is the kVp range and exposure time for the AP/PA chest for a child?
Definition
70-80 kV and shortest exposure time possible.
Term
Where is the CR for chest x-rays on a child?
Definition
CR is centered to the mamillary (nipple) line.
Term
What is the SID for chest x-rays of children?
Definition
SID is 50-60in and tube raised as high as possible.
Term
What is a horizontal beam used to visualize on a chest image?
Definition
Air-fluid levels, such as a hemothorax or for pulmonary edema.
Term
What is the kV range for the lateral chest position?
Definition
75-80kV with shortest exposure time
Term
If a Tam-em board is used and the patient is supine, what must be done?
Definition
The tube must be adjusted for a horizontal beam projection, and place vertical cassette against the lateral wall of the chest. Do not change the patient's position. 
Term
Where is the CR positioned with the use of the Tam-em board?
Definition
X-ray tube is centered horizontal beam lateral position to midcoronal plane of the thorax at the level of the mammillary line.
Term
When should the Pigg-O-Stat not be used?
Definition
When the child is a newborn or cannot hold their head up.
Term
What is included on the upper limb of an image of an infant/young child?
Definition
The entire upper limb.
Term
What is the kV range for the upper limb?
Definition
55-65kV, w/ shortest exposure time.
Term
For the lateral lower limbs, if the patient is supine, place the cassette which way for bilateral limbs?
Definition
diagonally
Term
For bilateral limbs, how should the patient's part be positioned?
Definition
Abduct both limbs into "frog leg" position. Immobilize with tape or compression band across knees and/or ankles.
Term
What is another name for "club feet"?
Definition
Talipes Varus
Term
When positioning "club feet" for the AP or Lateral position, what should not be done?
Definition
No attempt to straighten the foot.
Term
What is the kV range for AP and Lateral pelvis of a child?
Definition
60-65kV
Term
What device can and is most often preferred to be used for erect chest images and erect abdomen?
Definition
Pigg-O-Stat
Term
What is the Lateral Decubitus abdomen and Dorsal Decubitus abdomen used to see?
Definition
Possible calcifications, masses, or other anomalies.
Term
What structures are shown on a Lateral/Dorsal Decubitus abdomen?
Definition
Air fluid levels within abdomen. Diaphragm included along with pelvis/hips.
Term
What is a Ventral Decubitus of abdomen used to see?
Definition
Air in the rectum
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