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Bony Thorax

Part 2

QuestionAnswer
What position places the sternum in the heart shadow? RAO
If the patient has a smaller thorax, they will require More Rotation
PA Oblique Sternum (RAO) requires the patient oblique 15-20° in order to Move the Spine out of the way
Why is a 30 inch SID recommended for a PA Oblique Sternum (RAO) To blur the posterior ribs
PA Bilateral SC Joints CR Placement- Enters the level of T2-T3 (jugular notch) at the MSP
How do we Avoid superimposition by mandible in a PA Bilateral SC Joints X-Ray? Slightly elevate chin
Why do we use Suspended Expiration for PA Oblique Sternum? Less person for the X-Ray to go through Blurs the ribs
PA Oblique SC Joint Patient Position- 10 to 15-degree RAO/LAO
The ____________ is placed closer to the IR when performing a PA Oblique SC Joint Affected Side
PA Oblique SC Joint CR Placement- Enters at T2-T3 (jugular notch) 1-2 inches lateral of MSP on elevated side
What should you see on a properly positioned PA Oblique SC Joint? Makes affected joint open
What should you see on a properly positioned PA Oblique SC Joint? Other SC joint slightly superimposed with manubrium
A PA chest is included in a rib series to check for Lung Damage
There are anterior and posterior Upper Ribs
There are only posterior Lower Ribs
Lateral Sternum Patient Position- Rotate the patients shoulders posteriorly, place patients hands behind their back Center Sternum to Midline
Why do we use a 72 inch SID when performing a Lateral Sternum X-Ray? To Compensate for large OID
Lateral Sternum CR Placement- Enters lateral border of sternum at mid-sternum (T7) (midway between the jugular notch and xiphoid process)
Lateral Sternum Breathing Instructions Suspended Inspiration
Lateral Sternum Breathing Instructions purpose? Pushes the sternum outward
Bilateral & Unilateral AP Ribs are for? Posterior Ribs
Bilateral & Unilateral PA Ribs are for? Upper Anterior Ribs
Bilateral PA Ribs CR Placement- Perpendicular through MSP; Enters at level of T7
Unilateral PA Ribs CR Placement- Perpendicular, halfway between MSP and lateral affected side; Enters at level of T7
Why do we use Suspended Inspiration for Bilateral & Unilateral PA Ribs? Create better contrast
Bilateral & Unilateral AP Upper Ribs Breathing Instructions Suspend at end of full inspiration (Increases contrast)
Bilateral & Unilateral AP Lower Ribs Breathing Instructions Suspend at full expiration (Less person to go through)
Bilateral & Unilateral AP Lower Ribs CR Placement- Place bottom of IR at crest and center CR to IR
What position would we use to view the Right anterior ribs? LAO
AP Oblique Ribs: LPO/RPO Patient Position- 45-degree posterior oblique, affected side toward the board Abduct and elevate arm of affected side
AP Oblique Ribs: LPO/RPO CR Position- Perpendicular, entering affected side halfway between MSP and lateral surface of body
PA Oblique Sternum (RAO) CR Placement- Perpendicular, enter T7, 1 in lateral to MSP on elevated side
Created by: user-2016295
 

 



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