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Rad Pro Ch.15

Trauma

TermDefinition
Asepsis A state of sterility; condition in which living pathogens are absent.
Cardiac Pacemaker An artificial regulator for cardiac rate and rhythm.
Cholecystectomy Surgical removal of gallbladder.
Closed Reduction Procedure in which bone fragments are reduced manually w/o surgical intervention.
Cystoscope Lightened tubular endoscope used for examination of the urinary bladder.
Hip Pinning Surgical procedure designed to reduce proximal femoral fractures through the use of various internal fixation devices.
Laminectomy A surgical procedure performed to alleviate pain caused by neural impingement by removing an aspect of the lamina in the vertebral arc.
Laparoscopic Use of a special endoscopic device to visualize and assist with surgical removal of the gallbladder.
Open Reduction Reduction of fracture fragments through surgical intervention.
Operative (immediate) cholangiography Radiographic procedure performed during surgery to visualize and locate undetected stones or obstructions within the binary ducts.
Prosthesis Fabricated (artificial) substitute for a diseased or missing anatomic part.
Retrograde Urography A nonfunctional examination of the urinary system during which contrast medium is introduced directly retrograde (backward against the flow) into the pelvicalyceal system via cauterization by a urologist during a minor surgical procedure.
Shower curtain An isolation drape that separates the sterile field from the non sterile environment; often used to permit the use of C-arm fluoroscopy during a hip pinning procedure.
Mobile (Portable) X-Ray Equipment 1. Battery powered. 2. Standard powered, capacitor-discharge. 3. C-arm digital mobile fluoroscopy systems.
Three Cardinal Principles of Radiation Protection Time, distance, shielding.
Sprain Forced wrenching or twisting of a joint, resulting in partial rupture or tearing of supporting ligaments.
Fracture (fx) A break in the bone.
Contusion A "bruise"-type injury without a fracture or break in the skin.
Apposition Relationship of the long axes of fracture fragments.
Anatomic Apposition Anatomic alignment of the ends of fractured bone fragments, where the ends of the fragments make end-to-end contact.
Angulation Loss of alignment.
Apex angulation Describes direction or angle of apex of fracture
Varus deformity The distal fragments ends are angled toward the midline of the body and the apex is pointed away from the midline.
Valgus deformity The distal fragment ends are angled away from the midline and the apex is pointed toward the midline.
Lack of apposition The ends of fragments are aligned, but pulled apart and are not making contact with each other.
Bayonet apposition The fracture fragments overlap and he shafts make contact, but not at the fracture ends.
Subluxation A partial dislocation.
Dislocation Displacement of a bone that is no longer in contact with its normal articulation.
Simple fracture Bone does not break through skin (closed fracture).
Compound fracture Bone protrudes through skin (an open fracture).
Incomplete fracture Fracture does not traverse through entire bone. Examples: Torus fracture, Greenstick fracture, and Plastic fracture.
Torus fracture The buckle of the cortex is characterized by localized expansion or torus of the cortex possibly with little or no displacement an no complete break in the cortex.
Greenstick fracture x is on one side only. One side of the bone is broke and the other side is bent.
Plastic fracture Incomplete fractures of tubular long bones and occur as a plastic response to longitudinal stress.
Transverse fracture Fracture at a near right angle to the long axis of the bone.
Oblique fracture Fracture passes through bone at an oblique angle.
Spiral fracture The bone has been twisted apart and the fracture spirals around the long axis.
Segmental fracture Double fracture in which two fracture lines isolate a distinct segment of bone; bone is broken into 3 pieces, the middle fractured at both ends.
Butterfly fracture A comminuted fracture with 2 fragments on each side of the main, wedge-shapped separate fragment.
Splintered fracture A comminuted fracture in which the bone is splintered into thin sharp fragments.
Complete fractures Two pieces ex: Transverse fracture, Oblique fracture, and Spiral fracture.
Comminuted fractures Two or more fragments ex: Segmental fracture (double-type fracture),Butterfly fracture (two fragments),and Splintered fracture (thin, sharp fragments)
Impacted fracture One fragment driven into another (ends of bones).
Colles' fracture Posterior displacement of distal radius.
Reverse Colles' fracture Anterior displacement.
Monteggia's fracture Proximal ulna along with dislocation of radial head.
Pott's fracture Ankle fracture of distal fibula with frequent fracture of medial malleolus.
Stellate fracture Fracture lines radiate from a center point of injury.
Tuft fracture Comminuted fracture of distal phalanx.
Compression fracture Vertebral body collapses or is crushed.
Closed reduction -By manipulation, no surgery. -Minimum two projections.
Open reduction -With surgery. -Minimum two projections.
C-arm fluoroscopy Mobile fluoroscopy with both open and closed reductions.
Trauma Adaptation Positioning Principle 1: Two projections, 90° from each other (often with no patient movement)
Trauma Adaptation Positioning Principle 2: Initial long bone studies require that both joints be demonstrated for each projection.
Trauma Adaptation Positioning Principle 3: Follow-up studies usually require only the joint nearest the injury.
Scrub -Prepares and maintains sterile surgical field and instruments. -Gowns members of surgical team.
PACEMAKER INSERTION PROCEDURE Generally performed in a hospital by a surgeon and/or a cardiologist. C-arm mobile fluoroscopy used to guide electrodes into right ventricle of heart Pulse generator and battery generally inserted into the chest wall.
TWO TYPES OF IMAGING EQUIPMENT IN SURGERY C-arm & Mobile radiographic unit.
SURGICAL ATTIRE TECHNOLOGIST -Scrubs, Shoe covers, Nonsterile gloves, Protective apron, Head cover, and Surgical mask.
Created by: sassyrad
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