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thorax
| Question | Answer |
|---|---|
| what ribs are false ribs | pairs 8-10 |
| what ribs are floating | 11 and 12 |
| what ribs are true ribs | 1-7 |
| 3 portions of the sternum | manubrium, body, xiphoid process |
| how long is the sternum | approx 6in |
| the manubrium sits at what vertebral level | T2-T3 |
| the xiphoid process sits at what vertebral elvel | T10 |
| the sternal angle is also called the | angle of louis |
| the sternal angle lies at what vertebral level | T4-T5 interspace |
| the gladiolus is also called the | body of the sternum |
| where the head of the rib articulates with the vertebral body | costovertebral joint |
| where the tubercle of the rib articulates with the thoracic spine | costotransverse joints |
| inflammation of bone due to pyogenic infection | osteomyelitis |
| Paget disease | a chronic disorder where accelerated, abnormal bone remodeling leads to weak, enlarged, and brittle bones, commonly affecting the skull, spine, pelvis, and limbs |
| chondrosarcoma | malignant tumor arising from cartilage cells |
| the sternum should be ____ in sternal obliques | in the hearts shadow |
| what is the degree of angulation of the pt in sternal oblique =what is the oblique position? | 15-20 degrees. right anterior oblique |
| purpose of the breathing technique in sternal oblique views | the breathing technique (shallow breathing) blurs the lungs and increases detail of the sternum. |
| If you choose to use the breathing technique over suspended expiration, you have ot change what | increase mA, decrease time. |
| which scan has the special SID of 30'' | PA oblique sternum (RAO) |
| whats the SID for lateral sternum? why? | 72". this reduces magnification caused by increased OID |
| what is the positioning for bilateral PA SC joint vs unilateral SC joint | chin against board for bilateral; head turned toward affected side, cheek against board for unilateral |
| What is degree of angulation of the pt for oblique SC joint | 10-15 degrees. to the side of interest |
| what is the vertebral level of the SC joint | T2-T3 |
| why is it preferred to angle the tube over angling the patient in PA oblique SC joint view | angling the patient increases OID, which increases distortion. |
| what is the degree of angulation of the TUBE for a PA oblique SC joint. | 15-30 degrees cephalad |
| PA upper ribs is the same as PA chest except for | exposure factors, SID is 40", IR is portrait, and CR is moved up an inch. We also do unilateral instead of bilateral |
| CR centered to ___ for lower ribs | T10 |
| respiration should be suspended on the ___ for LOWER ribs | exhale, to move the diaphragm up |
| respiration should be suspended on the ___ for UPPER ribs | inspiration to more the diaphragm down |
| for AP lower ribs, the CR is centered midway between ___ and ____. | xiphoid process and lowest ribs (T10) |
| Purpose of having the side of interest against the IR for PA or AP ribs | increases spatial resolution of the area |
| for upper ribs, place top of the lengthwise IR ___ above the shoulders | 1 1/2 |
| for lower ribs, place lower edge of the IR at level of | iliac crests |
| what ribs are fractured the most | posterior ribs. they are often missed on AP chest |
| paradoxical chest motion is caused by | flail chest-- adjacent rib fractures in 2+ places |
| cervical ribs | extra ribs can grow out of C7 |
| pectus axcavatum | depressed sternum-- lateral chest |
| pectus carinatum | protruding chest-- lateral chest |
| projections to demonstrate Pagets disease | chest and rib |
| projections to demonstrate rib fractures | rib series (AP + Obliques) |
| degree pt is rotated for lateral scapular Y | 45-60 |