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Peds and Trauma

RAD Positioning

TRUE or FALSE: Restraining devices are necessary to obtain a quality pediatric exam. FALSE. They may be necessary when communication fails, but communication will often facilitate a quality exam.
Fracture involving the base of the 5th metacarpal Boxers
Fracture of the proximal ulna with dislocation of the radial head Monteggia's
Pediatric life threatening emergency of the Upper Airway afflicting 3-5 yr olds Epiglottitis
TRUE or FALSE: Separation anxiety is common in the teen population FALSE
What are 3 things to do to for a successful pediatric exam Complete room prep, communicate w/ the patient in age appropriate language and at their physical level, position w/ a firm, gentle approach
C-arm mode that increases the size of the image? That removes bone Magnification, Subtraction
Fx resulting in a free floating zygoma Tripod
Signs of fx include deformity, inability to bear weight, swelling, no movement
Pediatric restraining devices that may be employed, include Sandbags, Tam-em board, Pigg-O-Stat, Mummy wrap, tape
if a patient goes into shock following trauma, what position would they be placed in Trendelenburg
What compensation is made when positioning for a pediatric skull verses an adult skull Decrease the cranial angle by 5 degrees
Trauma Rule 1 states: 2 projections, 90 degrees apart
Trauma Rule 2 states: Image must include the joint closest to injury on the initial image, and both joints must be included in the study
A good pediatric chest demonstrates: 9-10 posterior ribs, spine through the heart shadow, symmetrical ribs, no rotation
Types of Apposition Anatomic-in alignment, Bayonet-bones overlap
Terms for displacement/partial displacement from a joint Dislocation or luxation/Subluxation
C-arm mode that minimizes dose Pulse
In the case of C-Spine trauma, what protocol does the tech follow with a C-Spine order Patient is not moved, XTL C-Spine is taken with the collar on and read by a physician first!
Positioning for the Danelieus Miller Hip IR angled near IC, CR perp to femoral neck, build up hip to center CR to IR and avoid grid cutoff
Location of the x-ray tube in standard configuration of a C-arm At the lower aspect of the C with the II at the upper portion of the C
C-arm orientation with the least exposure to the operator Vertical PA
Comminuted Fx of the distal phalanx Tuft fx
ORIF Open Reduction Internal Fixation
TRUE or FALSE: Talk your 5-8 year old patients through the exam as they are eager to please but may be scared. TRUE
TRUE or FALSE: Parents should be present when questioning children, especially when asking LMP of teenage girls. FALSE
Study done to evaluate accelerated or stunted growth in children Bone age
How is a bone age study performed AP of left hand and wrist
Created by: EHodgis