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Comp Review

Review for Comps at Spencerian

QuestionAnswer
PA Chest (14x17 CW) 72" SID perpendicular to the center of the IR, enterinr at the level of T7 & the midsaggital plane // top of IR 1 1/2 to 2" above shoulders // suspended after 2nd full inspiration // 115 KVP @ 30-40 MAS
Lateral Chest (14x17 LW) 72" SID Perpendicular to the IR entering the patient at level of T7 // top of IR 1 1/2 to 2" above shoulders // suspended after 2nd full inspiration // 115 KVP @ 40-50 MAS
AP Axial Chest (14x17 LW) 72" SID perpendicular to the IR entering midsternum // top of IR 3" above shoulders // suspend after 2nd full inspiration // 115 KVP @ 30 MAS
PA Digits (8x10 LW or CW) Perpendicular entering PIP joint of the digit being examined. Collimate to digit being examined // 50 KVP @ 2-4 MAS
Lateral Digits (8x10 LW or CW) direct perpendicular entering PIP joint. Collimate to the digit being examined // 50 KVP @ 2-4 MAS
Oblique Digits (Lateral Rotation) (8x10 LW or CW) Direct perpendicular entering PIP joint. Collimate to digit being examined // 45-degree rotation of hand // 50 KVP @ 2-4 MAS
PA Hand (8x10 LW) direct perpendicular to 3rd MCP joint // 55 KVP @ 5 MAS
Oblique Hand (Lateral Rotation) (8x10 or 10x12 LW) direct perpendicular to 3rd MCP joint // 45-degree rotation of hand // 55 KVP @ 5 MAS
Fan Lateral Hand (8x10 or 10x12 LW) direct perpendicular to 2nd MCP joint // 55 KVP @ 5 MAS
PA Wrist (8x10 or 10x12 LW) direct perpencidular to midcarpal area // 60 KVP @ 6 MAS
Lateral Wrist (Lateromedial) (8x10 or 10x12 LW) direct perpendicular to wrist joint // elbow flexed 90-degrees w/forearm and arm in contact with table // 60 KVP @ 6 MAS
PA Oblique Wrist (Lateral Rotation) (8x10 or 10x12 LW) direct perpendicular to IR entering midcarpal area just distal to radius // rotate wrist 45-degrees & armpit should be in contact with table // 60 KVP @ 6 MAS
AP Forearm (14x17 LW) direct perpendicular to midpoint of forearm // entire limb should be in contact with the table & hand supinated // 60 KVP @ 6-8 MAS
Lateral Forearm (14x17 LW) direct perpendicular to midpoint of forearm // elbow should be felxed at 90-degree angle with entire limb on same plane // 60 KVP @ 6-8 MAS
AP Elbow (8x10 or 10x12 LW) direct perpendicular to the elbow joint // entire limb on same plane & hand supinated // 65 KVP @ 8 MAS
Lateral Elbow (8x10 or 10x12 LW) direct perpendicular to elbow joint // elbow flexed 90- degrees with entire limb on same plane with humeral epicondyles perpendicular to IR // 65 KVP @ 8 MAS
AP Oblique Elbow (Medical Rotation) (8x10 or 10x12 LW) direct perpencidular to IR entering elbow joint // entire limb on same plane & pronate hand to medially rotate arm // 65 KVP @ 8 MAS
AP Oblique Elbow (Lateral Rotation) (8x10 or 10x12 LW) direct perpendicular to IR entering elbow joint // entire limb on same plane & rotate hand laterally // 65 KVP @ 8 MAS
AP Humerus (14x17 LW) direct perpendicular to midpoint of humerus // supinate hand & epicondyles parallel with IR // suspend respiration // 70 KVP @ 10-12 MAS
Lateral Humerus (14x17 LW) direct perpendicular to midpoint of humerus // slightly abduct arm & medially rotate shoulder until epicondyles are perpendicular to IR// suspend respiration // 70 KVP @ 10-12 MAS
AP Internal Shoulder (10x12 CW) perpendicular to a point 1" inferior to the coracoid process // flex elbow comewhat & rest nack of hand on hip // suspend respiration // 70 KVP @ 10 MAS
AP External Shoulder (10x12 CW) perpendicular to a point 1" below the coracoid process // supinate the hand & abduct arm slightly // suspend respiration // 70 KVP @ 10 MAS
AP Neutral Shoulder (10 x 12 CW) perpendicular to a point 1" below the coracoid process // rest palm of hand against thigh // suspend respiration // 70 KVP @ 10 MAS
AP Clavicle (10x12 CW) perpendicular to midshaft of clavicle // suspend at end of full expiration // 70 KVP @ 12 MAS
AP Axial Clavicle (Lordotic Position) (10x12 CW) direct angle 15 degrees cephalad centered to midshaft of clavicle // suspend at end of full inspiration // 70 KVP 12 MAS
AP Scapula (10x12 LW) direct perpendicular to IR at midscapular area approximately 2" inferior to coracoid process // abduct arm to a right angle to body, flex elbow & support hand // slow deep breathing // 70 KVP @ 25 MAS
Lateral Scapula (10x12 LW) direct perpendicular to IR & position to medial border of protruding scapula // pt in oblique position 45-60 degrees & extend pts arm behind back // suspend respiration // 70 KVP @ 20 MAS
AP Axial Foot (10x12 LW) direct 10 degrees posteriorly, entering base of 3rd metatarsal for reduced elongation // knee slightly flexed // 55 KVP @ 5 MAS
AP Oblique Foot (Medial Rotation) (10x12 LW) direct perpendicular to base of 3rd metatarsal // rotate leg medially until planter surface of foot for 30 degree angle // 55 KVP @ 5 MAS
Lateral Foot (Mediolateral) (10x12 LW) direct perpendicular to midpoint of IR, entering level of base of 3rd metatarsal // dorsiflex foot to form 90 degree angle to lower leg // 55 KVP @ 5 MAS
AP Ankle (8x10 or 10x12 LW) direct perpendicular to ankle joint, entering midway between malleoli // dorsiflex foot & ankle // 60 KVP @ 6 MAS
Lateral Ankle (Mediolateral) (8x10 or 10x12 LW) direct perpendicular to ankle joint, entering medial malleolus // roll pt on affected side & dorsiflex the ankle ot 90 degree angle // 60 KVP @ 6 MAS
AP Oblique Ankle (Medial Rotation) (8x10 or 10x12 LW) direct perpendicular to ankle joint, entering midway between malleoli // dorsiflex the foot & internally rotate entire leg & foot together until 45 degree rotation // 60 KVP @ 6 MAS
AP Oblique Ankle (Mortise Joint) (8x10 or 10x12 LW) direct perpendicular, entering ankle joint midway between malleoli // dorsiflex the foot & internally rotate entire leg & foot 15-20 degrees until intermalleolar plane is parallel with IR // 60 KVP @ 6 MAS
AP Tib/Fib (14x17 LW) direct perpendicular to midpoint of leg // dorsiflex foot & femoral condyles are parallel to IR // 65 KVP @ 6-8 MAS
Lateral Tib/Fib (Mediolateral) (14x17 LW) direct perpendicular to midpoint of lef // patella perpendicular to IR // 65 KVP @ 6-8 MAS
AP Knee (10x12 LW) ensure central ray ebters a point 1/2" inferior to patellar apex & depending on ASIS measurement direct central ray:<19 CM = 3-5 degrees caudad19-24 CM = 0 degrees>24 CM = 3-5 degrees cephalad
Lateral Knee (Mediolateral) (10x12 LW) direct 5-7 degrees cephalad, entering knee joint 1" distal ot medial epicondyle // turn pt onto affected side with knee flexed 20-30 degrees // patella should be perpendicular to IR // 65 KVP @ 8 MAS
AP Femur (2 Films) (14x17 LW and 10x12 LW) direct perpendicular to midfemur and center of IR // proximal pigeon toe feet & distal in anatomic position // 70 KVP @ 20-30 MAS
Lateral Femur (Mediolateral) (2 Films) (14x17 LW and 10x12 LW) direct perpendicular to midfemur // position pt lying on affected side with knee flexed 45 degrees // 70 KVP @ 20-30 MAS
AP Pelvis (14x17 CW) direct perpendicular to midpoint of IR approx 2" below ASIS // medially rotate feet & lower limb 15-20 degrees // suspend breath // 80 KVP @ 25-40 MAS
AP Hip (10x12 LW) direct perpendicular to a point 2.5" distal on a line drawn perpendiculer to midpoint of line between ASIS & pubic symphysis // medially rotate lower limb 15-20 degrees // suspend breath // 80 KVP @ 20-25 MAS
Lateral Hip (Mediolateral) Lauenstein Method (10x12 CW) direct perpendicular to hip @ point midway between ASIS & pubic symphysis // flex knee & support unaffected side with cushion // suspend respiration // 80 KVP @ 20-25 MAS
AP Open Mouth C-Spine (8x10 CW) 30" SID direct perpendicular to center of IR, entering open mouth // supine with mouth open wide // have pt phonate "ah" during exposure // 80 KVP @ 20 MAS
AP Dens (Fuchs Method) (8x10 CW) direct perpendicular to center of IR, entering midsagittal plane just distal to tip of chin // supine & extend chin until perpendicular to IR // suspend breathing // 80 KVP @ 25 MAS
AP Axial C-Spine (10x12 LW) direct 15-20 degrees cephalad, entering slightly inferior to thyroid cartilage & exiting C4 // suspend respiration // 76 KVP @ 16 MAS
Lateral C-Spine (Grandy Method) (10x12 LW) 72" SID directed horizontal & perpendicular to IR entering C4 // elevate chin slightly & relax shoulders // suspend at end of full expiration // 76 KVP @ 64 MAS
AP Axial Oblique C-Spine (RPO & LPO) (10x12 LW) 72" SID direct 15-20 degrees cephalad, entering C4 // rotate body 45 degrees with side of intrest farther from the IR // suspend respiration // 76 KVP @ 25 MAS
AP T-Spine (14x17 LW) direct perpendicular to IR, central ray should be approx. midway between the jugular notch & xiphoid process // top of IR 1 1/2 to 2" above shoulders with pt in supine position, flex knees // suspend at full expiration // 70 KVP @ 20 MAS
Lateral T-Spine (14x17 LW) direct perpendicular to center of IR at level of T7. central ray enters posterior half of thorax // top of IR 1 1/2 to 2" above shoulders & have arms in praying position // suspend at expiration // 70 KVP @ 40 MAS
Lateral Swimmers (10x12 LW) direct perpendicular to C7-T1 interspaces // elevate arm and rest on head & rotate shoulders opposite of each other // suspend respiration // 80 KVP @ 80 MAS
AP L-Spine (14x17 LW) direct perpendicular to center of IR, entering at level of iliac crests // flex knees & hips // suspend respiration // 80 KVP @ 40 MAS
Lateral L-Spine (14x17 LW) Direct perpendicular to IR, entering midcoronal plane at level of iliac crests // knees & hips flexed & arms in praying position // suspend at expiration // 80 KVP @ 64 MAS
Created by: mandababe0788 on 2010-07-19



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