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ChiroBoards2:XrayPos

ChiroBoards2: Xray Positioning

QuestionAnswer
Lateral Skull = Sella Turcica
Lateral Skull Film Size 10x12
Lateral Skull FFD and tube tilt 40 ; None
P-A Caldwell Projection = Frontal Sinus
P-A Caldwell Projection Film size 10x12
P-A Caldwell Projection FFD and Tube Tilt 40; 15 degrees caudad
A-P Towne's = Foramen Magnum
A-P Towne's Film size 10x12
A-P Towne's FFD and tube tilt 40; 35 degrees caudad
Water's film = Maxillary Sinus
Water's film size 8x10
Water's FFD and tube tilt 40; none
Neutral Lateral Cervical film size = 8x10 or 10x12
Neutral Lateral Cervical FFD and tube tilt 72; None
APLC film size 8x10
APLC FFD and tube tilt? 40; 15 degrees cephalic
APOM fim size = 8x10
Which film is best for viewing a Burst FX? APOM
Which film views the dens at atlas in an AP view? APOM
APOM FFD and tube tilt 40; None
Cervical Oblique film size 8x10
Cervical Oblique FFD and tube tilt 72; 15 degrees (anterior caudad/ posterior cephalad)
Patient is facing the tub and their body is rotated 45 degrees away = (anterior or posterior obliques?) posterior oblique
What film is taken to evaluate ADI space-transverse ligament STABILITY? Cervical Flexion
What MUST you do before taking a cervical flexion/extension film? (in trauma series cases) Evaluate the standard series for fractures or signs of instability
Cervical Flexion FFD and tube tilt = 72; none
Cervical Extension FFD and tube tilt = 72; none
Best view for seeing cervical articular processes and apophyseal joints= Cervical articular pillar film
Cervical Articular Pillar: film size 8x10
Cervical Articular Pillar FFD and tube tilt = 40; 35 degrees cephalad
Cervical Articular Pillar: patient position (P-A or A-P?) P-A
A-P Thoracic film size 7x17
A-P Thoracic FFD 40
Lateral Thoracic Film size 14x17
Lateral Thoracic FFD and tube tilt 40; none
Lateral Thoracic filter position lower half of thoracic spine
Best view for seeing cervico-thoracic junction Swimmer's View
Swimmer's View film size? 8x10
Swimmer's View FFD and tube tilt 40; 5 degrees caudal
Describe patient's position in swimmer's view Standing; lateral position with the arm closest to the bucky raised overhead; other arm hangs at the patient's side
P-A Chest film size 14x17
P-A Chest FFD 72
P-A Chest breathing instructions deep breath in and hold
breathing instructions: Lateral Chest Deep breath in and hold
breathing instructions: Apical Lordotic Deep breath in and hold
breathing instructions: A-P Lumbar Breath in and let it all out
breathing instructions: Lateral Lumbar Breath in and let it all out
breathing instructions: L5/S1 Spot shot Don't breath; Don't move
Lateral Chest film size 14x17
Lateral Chest FFD 72
Best view for seeing lung apices and a Pancoast tumor Apical Lordotic
Apical Lordotic film size 14x17
Apical Lordotic FFD 72
A-P Lumbar Film size 14x17
A-P Lumbar FFD and tube tilt 40; none
A-P Lumbar Central Ray placement 1 inch below the top of the iliac crests
Lateral Lumbar film size 14x17
Lateral Lumbar FFD and tube tilt 40; none
Lateral Lumbar Central Ray placement Top of the iliac crest at the mid-axillary line
L5/S1 Spot Shot: aka's (2) Sacral Base Tilt; Ferguson's Projection
L5/S1 Spot Shot film size 8x10
L5/S1 Spot Shot FFD and tube tilt 40; 25 degrees cephalic
L5/S1 Spot Shot= patient position supine
L5/S1 Spot Shot central ray placement At the level of the ASIS
Which film views the Pars Lumbar Spine Oblique
Lumbar Spine Oblique view : Film size ; FFD; Tube Tilt = 10x12; 40; none
Lateral L5/S1 spot shot: Film size; FFD; Tube Tilt = 8x10; 40; none
Lateral L5/S1 spot shot: central ray position = 2 inches inferior to the iliac crest and 1 inch posterior to the mid-axillary line
A-P Sacrum* : Film size; FFD; Tube tilt = 8x10; 40; 15 degrees cephalic
A-P Sacrum* : central ray position = 2 inches superior to the pubic symphysis
Lateral Sacrum: Film size; FFD; Tube tilt = 8x10; 40; none
Lateral Sacrum : central ray position = level of the ASIS, 3 inches posterior to mid-axillary line
Lateral Sacrum : patient position lateral recumbent position
A-P coccyx: film size; FFD; tube tilt = 8x10; 40; 10 degrees caudal
A-P coccyx: Central ray position 2 inches superior to the pubic symphysis
Lateral coccyx: film size; FFD; tube tilt 8x10; 40; none
A-P Angulated SI Joint film : film size; FFD; tube tilt = 10x12; 40; 30 degrees cephalic
A-P Angulated SI Joint film : central ray position = midline, 1 inch below ASIS
What views should be done to assess the AC joint? AC Joint View with and without weights
When taking an AC Joint View, what should always be compared? Take bilateral views for comparison
AC Joint View: film size; FFD; tube tilt? 8x10; 40; 5 degrees cephalad (pt. standing A-P)
A-P Shoulder with external rotation views what skeletal structure? Greater tuberosity
A-P Shoulder with internal rotation views what skeletal structure? Lesser tuberosity
A=P Shoulder view (internal or external rotation): Film size and FFD 10x12; 40
Axial Clavicle: Film size; FFD; tube tilt 10x12; 40; 15 degrees caudal for P-A position (15 degrees cephalic for A-P position)
A-P Elbow: Patient position Seated at the end of the table with shoulder, elbow, and wrist against the table and the hand SUPINATED
A-P Elbow: FFD and tube tilt 40; none
Lateral Elbow: FFD and tube tilt 40; none
Lateral Elbow: Patient position Seated at the end of the table with elbow flexed to 90 degrees and shoulder, elbow, and wrist against the table and thumb pointed towards tube.
Medial (Internal) Oblique Elbow: FFD; tube tilt 40; none
Medial (Internal) Oblique Elbow: Patient position Seated at the end of the table with shoulder, elbow, and wrist against the table and the hand PRONATED.
Which view is best for the carpals? P-A wrist
P-A Wrist: FFD and tube tilt 40; none
P-A Wrist: Patient position Seated at the end of the table with elbow and wrist against the table and hand pronated with fingers curled loosely in a fist
Medial Oblique Wrist: FFD and tube tilt 40; none
Medial Oblique Wrist: Patient position Seated at the end of the table; elbow and wrist against the table and the hand is oblique at 45 degrees
Lateral Wrist: FFD and tube tilt 40; none
Lateral Wrist: Patient position Seated at the end of the table with the elbow and wrist against the table, wrist in 0 degrees flexion and metacarpals stacked on top of each other.
Which view is best to see the scaphoid and lunate bones? P-A Ulnar Deviation view
P-A Ulnar Deviation View: FFD and tube tilt 40; none
P-A Ulnar Deviation View: Patient position Seated at end of table with elbow and wrist against the table, hand is pronated with fingers curled loosely in a fist, wrist is ulnar deviated maximally
Best view to see articulations of the hand P-A Hand
P-A Hand: FFD and tube tilt 40; none
P-A Hand: Patient position Seated at the end of the table with palm flat against the table and fingers slightly spread
Medial Oblique Hand: FFD and tube tilt 40; none
Medial Oblique Hand: Patient position Seated at the end of the table while hand is obliquely 45 degrees
Lateral hand: FFD and tube tilt 40 ; none
Lateral hand: Patient position Seated at end of the table with metacarpals stacked on top of each other and ulnar aspect of hand is against cassette while fingers are spread maximally
A-P Pelvis: film size 14x17
A-P Pelvis: FFD and tube tilt 40; none
A-P Pelvis: Patient position Supine or standing; with feet turned in 15 degrees
A-P Pelvis: Central ray position Place at the top of the film 2 inches above the iliac crests
Frog Leg Lateral Hip: Film size; FFD; Tube tilt 10x12; 40; none
Frog Leg Lateral Hip: patient position supine, leg on the side of interest in "Figure 4" position
A-P Knee: Film size; FFD; tube tilt 8x10; 40; 5 degrees cephalic
A-P Knee: Central ray position 1/2 inch inferior to the patellar apex
A-P Knee: Patient position Supine or sitting with the knee of interest extended with the foot turned inward 5 degrees.
Lateral Knee: Film size; FFD; Tube tilt 8x10; 40; 5 degrees cephalic
Lateral Knee: Patient position Lateral recumbent position with knee of interest closest to the table and flexed 30-45 degrees while the opposite leg is out of the way
Which film is best for viewing the intercondylar fossa? Tunnel Projection
Tunnel Projection: Film size; FFD; Tube tilt 8x10; 40; 45 degrees caudal
Tunnel Projection: patient position prone with the knee flexed to 45 degrees
Which film is best for viewing the patella and patellofemoral joint space? Tangential (sunrise) view
Tangential (sunrise) view: Tube tilt none
Tangential (sunrise) view: patient position prone with the knee of interest flexed maximally
Which view is best for viewing the following all together: distal tibia and fibula, ankle joint, and talus = A-P ankle
A-P ankle: tube tilt none
A-P ankle: Patient position supine or standing on the table with leg extended, ankle in 90 degrees of dorsiflexion and foot turned in 5 degrees
Medial Oblique Ankle: tube tilt none
Medial Oblique Ankle: patient position supine or sitting on the table with leg extended, ankle in 90 degrees of dorsiflexion and foot turned in 20-30 degrees
Lateral Ankle: tube tilt none
Lateral Ankle: Patient position lateral recumbent position with lateral aspect of the ankle of interest closest to the table and ankle in 90 degrees dorsiflexion while the opposite leg is out of the way
Which view is best to see the tarsals distal to the talus, metatarsals, and phalanges? A-P Dorsoplantar foot view
A-P Dorsoplantar foot view: tube tilt 10 degrees cephalic
A-P Dorsoplantar foot view: patient position sitting on the table with plantar surface of foot flat on cassette
Medial Oblique Foot view: tube tilt none
Medial Oblique Foot view: patient position sitting on table with the plantar surface of foot flat against the cassette and foot obliqued medially 30 degrees.
Lateral Foot: tube tilt none
Lateral Foot: patient position lateral recumbent position or sitting on the table; lateral aspect of the foot of interest against the cassette with ankle dorsiflexed at 90 degrees. (opposite leg is out of the way)
Created by: bglasman on 2012-03-04



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