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Peds and Trauma
RAD Positioning
| Question | Answer |
|---|---|
| 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
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