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Merrills l-spine
Lumbar,sacrum, and coccyx by merrils
| Question | Answer |
|---|---|
| What is the CR directed on an AP L-Spine? | Center the CR at the Iliac Crest(L4), center to the Midsagittal plane of the patient |
| Where is the IR directed for an oblique L-spine? | 2 in medial to the elevated ASIS and 1 1/2 in above the Iliac Crest |
| How many degrees is the patient rotated for the oblique L-Spine? | 45 degrees |
| When the patient is in the correct 45 degree oblique position for the lumbar spine, what apperance do the lumbar vertebra take on? | A Scottie Dog apperance |
| Where is the IR directed for the lateral L-Spine? | Perpendicular to the level of the Iliac Crest(L4) |
| What breathing instructions are suggested for all L-Spine projections EXCEPT l5-s1 Spot film? | Suspend breathing at the end of expiration |
| What part of the lumbar vertebra in the oblique position,is the "Ears" of the Scottie Dog? | Superior Articular Process |
| What part of the lumbar vertebra in the oblique position,is the "Nose" of the Scottie Dog? | Transverse Process |
| What part of the lumbar vertebra in the oblique position,is the "Eye" of the Scottie Dog? | Pedicle |
| What part of the lumbar vertebra in the oblique position,is the "Neck" of the Scottie Dog? | Pars Interarticularis |
| What part of the lumbar vertebra in the oblique position,is the "body" of the Scottie Dog? | Lamina |
| What part of the lumbar vertebra in the oblique position,is the "Front Legs" of the Scottie Dog? | Inferior Articular Process |
| Which zygapophyseal joint is most visualized on the radiograph? | The zygapophyseal joint closest to the film |
| If the pedicle is too posterior on the vertebral body of the lumbar oblique film, the body was rotated ___________? | Too much |
| If the pedicle is too anterior on the vertebral body of the lumbar oblique film, the body was rotated __________? | Not enough |
| What is another name for the AP Axial Projection of the Lumbosacral Junction and SI Joints? | Ferguson Method |
| Where should the CR be directed in the AP Axial(Ferguson) Projection? | About 1 1/2 in superior to the pubic symphysis and at the midsagittal plane of the patient |
| What degree of angulation and in what direction,for men, is suggested on the AP Axial Projection? | 30 degree Cephalad |
| What degree of angulation and in what direction,for women, is suggested on the AP Axial Projection? | 35 degrees Cephalad |
| Where is the CR directed on the L5-S1 projection? | Center to the Coronal Plane, 2 in posterior to the ASIS and 1 1/2 in inferior to the ASIS |
| When the spine is not in a true lateral position on the L5-S1 projection, The CR can be angled ______ degrees _______ for men. | 5, Caudad |
| When the spine is not in a true lateral position on the L5-S1 projection, The CR can be angled ______ degrees _______ for women. | 8, Caudad |
| How many degrees is the patient elevated on an oblique SI Joint projection? | 25 to 30 degrees and to the midsagittal plane |
| Where is the CR directed for the oblique SI Joint Projection? | 1 in medial to the ASIS |
| Where is the CR directed on an AP Sacrum? | 2 in superior to the pubic symphysis, and to the midsagittal plane |
| What degree and in which direction is the CR directed on the AP Sacrum? | 15 degree, Cephalad and to the midsagittal plane |
| Where is the CR directed for an AP Coccyx Projection? | 2 in superior to the pubic symphysis and to the midsagittal plane |
| What degree and in which direction is the CR directed for an AP Coccyx? | 10 degrees, Caudad |
| Where is the CR directed on a lateral Sacrum? | Perpendicular and directed to the level of the ASIS and approximately 3 1/2 in to 4 in posterior. This centering should work on most patients. |
| Where is the CR directed on a lateral Coccyx? | Perpendicular and directed to the level of the ASIS and approximately 3 1/2 in to 4 in posterior and 2 in inferior.This centering should work for most patients. |