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AA RIBS

Radiology

QuestionAnswer
Rib joints that are not synovial joints 1st rib to manubrium, cartilaginous synarthrodial 1st - 10th sternal ends of ribs to costocartilage; unique union synarthrodial Interchondral joint b/w 9th and 10th rib, fibrous synarthrodial
Sternoclavicular joint exam Pt. Prone RAO/LAO, 10-15 degrees, cr prep. To IR at 2" from MSP to the upside at T2-T3 or 3" from vertebral prominens, side closest to IR is demonstrated, SID 40"
2 images for the sternum Left lateral or Oblique RAO
Lateral sternum position Pt. erect left lateral with hands at back to stick chest out , CR prep to IR at mid sternum or 1/2 way b/w xiphoid process and lower rib margin, SID 72" ; image on inspiration
Oblique sternum RAO Pt. erect at RAO 15 - 20 degrees, CR at T7 and 1" left of MSP, 20 degrees for thin and 15 for thick. SID 40" ; Image on ORTHOSTATIC BREATHING
Upper Oblique ribs Anterior or posterior oblique at 45 degrees, CR same as chest at mid region of interest; affected anterior side away, affected posterior close to IR, SID 72" HOLD BREATH ON INSPIRATION
Lower ribs Only done AP; CR at point b/w xiphoid process and lower rib margin , light field at iliac crest SID 40", HOLD BREATH ON EXPIRATION
2 views rule for ribs Need area of interest closest to IR and need spine moved away; get an AP/PA and the oblique that moves spine away
Cervical levels c1-c7 C1 mastoid process; C3 Hyoid bone, Gonion; C3-C6 area of larynx; C6 area of larynx joining to trachea ; C7 vertebral prominens
Names of sternum Manubrium; body of sternum, gladiolus,corpus; xiphoid process, Ensiform
Thorax and pelvis levels T1-T2 1"above jugular notch T2-T3 jugular notch T4-T5 sternal angle T7 mid thorax T9-T10 xiphoid process L2-L3 lowerrib margin L4-L5 iliac crest S1-S2 ASIS
Elongation of ribs RPO elongates right LPO elongates left RAO elongates left LAO elongates right
Lateral upper airway Pt. Lateral at WB, CR at C6-C7 prep to IR, AML plane prep to IR, light field to external auditory meatus, slow deep inspiration SID 72"
Angles for bony thorax SC JOINTS 10 -15 degrees RAO STERNUM 15 - 20 degrees OBLIQUE RIBS 45 degrees
Which ribs do not have costotransverse joints Ribs 11 and 12
Difference b/w bilateral ribs and unilateral ribs Bilateral is 72" at MSP. And Unilateral is done at 40" with CR at mid clavicular line
Lower ribs exam Pt. In recumbent position like abdomen ; CR perp to IR at b/w the xiphoid process and lower rib margin, only done bilateral, only AP, imaged on expiration at SID 40"
Most common error with RAO sternum Over rotation
Ribs in upper region 1 - 9 ribs; ; 10,11,12 below diaphragm
AP Upper airway Pt. erect at WB, AP position, AML perp to IR, CR at T1-T2 or 1" above jugular notch, image on slow deep inspiration SID 40", light field up to EAM
Created by: scones and joe
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