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Registry Rev POS2
| Question | Answer |
|---|---|
| AP / PA chest positioning | CR: T7 3-4 inches below jugular notch second full respiration ** inspiration |
| how many ribs should be visualized above the diaphragm on a PA chest | 10 posterior ribs |
| Lateral chest positioning | CR: T7 3-4 inches below jugular notch second full inspiration lower CR and IR a min of 1 inch |
| how much should you lower the CR/IR for lateral chest | minimum of 1 inch inferior |
| AP lordotic chest positioning | CR: 3-4 inches below jugular notch; midsternum second full inspiration CR directed 15-20 cephalad or lean pt back |
| AP supine chest positioning | 5 degree angle caudal CR: T7 3-4 inches below jugular notch second full inspiration |
| chest lateral decub positioning | T7 3-4 inches below jugular notch second full inspiration horizontal beam |
| if fluid is suspected which side should be down | side affected down |
| if air is suspected which side should be down | air rises- side up |
| AP above diaphragm ribs | CR: T7 3-4 inches below jugular notch deep inspiration ribs 1-9 should be visualized |
| AP below diaphragm ribs | expiration CR: level of between xiphoid process and lower rib margin ribs 10-12 should visualized |
| how many true ribs are there | 1-7 |
| how many false ribs are there | 8-12 |
| how many floating ribs are there | 11-12 |
| jugular notch is found at the level of | T2-T3 |
| sternal angle is found at | T4-T5 |
| the vertebra prominins is found at | C7 |
| the xiphoid tip is found at the level of | T9-T10 |
| where the clavicle meets the sternum is termed | sternoclavicular joint |
| where the clavicle meets the acromion is termed the | acromioclavicular |
| when doing a PA above diaphragm of the ribs how many inches below the vertebra prominins is T7 | 7-8 |
| posterior oblique ribs positioning | 45 degree rotation of the body demonstrate the axillary portion of the ribs closest to the IR above: T7 below: midway between xiphoid process and lateral margin |
| anterior oblique ribs positioning | 45 degree rotation of the body demonstrates the ribs farthest from the IR above: T7 below: midway between xiphoid process and lateral margin |
| if a patient comes to the ER with right posterior rib pain we should perform | AP and RPO |
| if the patient comes to the ER with left anterior rib pain we should perform | PA RAO |
| when doing anterior oblique ribs we are looking at the ribs | farthest from the IR |
| when doing posterior oblique ribs we are looking at the ribs | closest to the IR |
| sternum lateral positioning | CR; midsternum; midway between jugular notch and xiphoid notch (lateral border) rotate shoulder posteriorly 72 SID inspiration |
| what is the SID for chest / rib | 72 |
| rao sternum positioning | 15-20 rotation 30-40 SID CR: midsternum breathing technique: orthostatic |
| what is orthostatic breathing technique | 3-5 s exposure |
| why do we put the patient in an RAO for sternum | to move the sternum into the heart shadow |
| as chest thickness increases rotation will _ | decrease |
| larger patients will need approx _ sternum rotation | 15 |
| smaller patients will need approx. _ sternum rotation | 20 |
| what is the SID for the RAO sternum | 30-40 |
| what is the SID for the lateral sternum | 72 inch SID |
| lateral upper airway (soft tissue neck) positioning | CR: C5 breathing: slow deep inspiration |
| what should you do to the mAs for the AP/ lateral upper airway | reduce the mAs by 1/2 |
| AP upper airway (soft tissue neck) pos | vowel sounds C5 |
| what is the valsalva maneuver vs modified | the pt takes in a deep breath and and attempts bowels while holding breath modified- pt pinches nostrils and makes effort to blow nose |
| AP supine abdomen positioning | CR: iliac crest expiration **make sure you have the entire bladder |
| AP upright abdomen positioning | CR: 2 inches above the iliac crest expiration |
| Lateral decub abdomen positioning | ** left best visualizes free intraperitoneal air CR: 2 inches above the iliac crest expiration |
| dorsal decub abdomen positioning | CR: horizontal at the iliac crest or 2 inches above iliac crest expiration |
| PA SC joints positioning | CR: jugular notch - 3 inches distal to vertebra prominens bilateral the head should look straight and chin up unilateral you should turn head toward the affected side |
| LAO and RAO SC joints positioning | 15 degree rotation upside arm in front of pt and downside arm behind CR: T2-3 3 inches below vertebra prominence and 1-2 inches lateral toward upside ASIS |
| RAO best demonstrates which SC joint | right |
| how long should the patient be upright / on their side for air fluid levels | 5 minutes |
| what does the dorsal decub best show | aneurysms and presence of calcified abdominal aorta and umbilical hernia |
| RAO esophagraphy position | rotate 35-40 degrees recumbent preferred but can also be done erect CR: 2-3 inches inferior to jugular notch suspend respiration |
| left lateral esophagus position | CR: 2-3 inches below the jugular notch suspend respiration |
| what does the lateral esophagus position demonstrate | entire esophagus between the heart and the thoracic spine |
| AP / PA esophagus positioning | CR: MSP; 1 inch inferior to sternal angle or 3 inches below the jugular notch expiration |
| LAO esophagus positioning | 35-40 degrees 2-3 inches below jugular notch expiration |
| UGI AP or PA scout purpose | used to establish baseline prior to contrast media |
| UGI PA sthenic patient positioning | level of pylorus and duodenal bulb L1 and one inch left of vertebral column |
| UGI PA Asthenic pt positioning | 2 inches below L1 |
| UGI PA hypersthenic pt positioning | 2 inches above level of L 1 near midline |
| PA UGI demonstrates | entire stomach and duodenal loop |
| the body will be filled with _ and fundus with _ in a PA | barium, air |
| RAO UGI positioning | CR: level of L2-3 asthenic: 2 inches below L1 40 degree oblique sthenic: level of 1, 1-2 above lateral rib margin 45-55 degree oblique hypersthenic: 2 inches above the level of L1; 70 degree oblique |
| in double contrast study in the RAO air will be in the | fundus |
| in an RAO barium will fill the | body and pylorus |
| right lateral UGI positioning based on body habitus | sthenic: 1-1.5 inches anterior to MCP hypersthenic: 2 inches above L1 asthenic: 2 inches below L1 expiration |
| what are we looking for when doing a right lateral UGI | retrogastric space |
| LPO UGI positioning | sthenic: level of L1 45 degree oblique hypersthenic: 2 inches above L1 60 degree oblique asthenic: 2 inches below L 1 30 degree oblique |
| in an LPO barium fills the _ and air fills the _ | fundus, air fills the pylorus and duodenal bulb |
| AP UGI positoning | sthenic: L1 hyper: 2 inches above L1 ashtenic: 2 inches below L 1 |
| the stomach is higher on which? AP or PA | AP |
| on a hypersthenic patient the stomach sits more | high and transverse |
| PA scout /PA follow through small bowel lower GI positioning | CR: iliac crest; pt prone |
| the cecum is _pertioneal | intra |
| the ascending colon is _peritoneal | retro |
| the transverse colon is _peritoneal | intra |
| the descending colon is _ peritoneal | retro |
| the sigmoid colon is _ peritoneal | intra |
| the upper rectum is _peritoneal | retro |
| the lower rectum is _peritoneal | infra |
| the small bowel contains | ileum, jejunum, duodenum |
| the longest part of the small intestine | ileum |
| the part of the small intestine that appears feathery | jejunum |
| the duodenum is what quadrant | LUQ and RUQ |
| the jejunum is what quadrant | LUQ LLQ |
| the ileum lies is what quandrants | RLQ LLQ |
| the shortest part of the small intestine is the | duodenum |
| when do we stop a small bowel series | when barium reaches large bowel, ileocecal valve, terminal ileum |
| contrast enema left lateral rectum positioning | CR: ASIS ; MCP |
| what demonstrates the rectosigmoid region | left lateral rectum |
| what position is the pt placed for barium enema tip insertion | left side in sims |
| how is the tip directed | anteriorly and superiorly - 2-3 inches |
| what is important when inserting an enema tip | IT SHOULD NEVER BE FORCED |
| left / decub lateral decub contrast enema positioning | CR: iliac crest expiration |
| the ascending colon is on the | right side |
| the descending colon is on the | left side |
| when in a LLD we are looking at the _ wall of the descending colon and the _ side of ascending | medial lateral |
| when in a RLD we are looking at the _ wall of the ascending and _ of descending | medial, lateral |
| LPO and RPO contrast enema position | CR: iliac crest, 1 inch lateral to elevated side 35-45 degree oblique |
| when looking at the hepatic (colic) flexure what position should we place the patient | LPO or RAO |
| when looking at the splenic (colic) flexure what position should we place the patient | RPO or LAO |
| what oblique would we place the patient in if the area of interest was the descending colon | RPO |
| if we are in an AP the transverse colon will fill with _ | air |
| RAO contrast enema position | CR: one inch to the left of MSP at iliac crest 35-45 degree oblique |
| LAO contrast enema position | 35-45 degree oblique CR: one inch to the right of MSP 1 inch above iliac crest |
| PA contrast enema position | CR: iliac crest |
| AP axial sigmoid position | CR: 2 inches inferior to the level of the ASIS 30-40 cephalic angle |
| what does the AP / PA axial sigmoid position demonstrate | rectosigmoid colon |
| PA axial sigmoid position | 30-40 caudal CR: enters the body at the top of the sacrum |
| PA or AP post evacuation | CR: iliac crest |
| for post evac AP supine barium will fill the _ and air will be in the _ | ascending, descending, and rectum air = transverse and sigmoid |
| for prone post evac PA barium will fill the _ air will fill the _ | transverse colon and flexures, and sigmoid air = ascending and descending and rectum |
| this exam is intended to demonstrate both the hepatic as well as the biliary ducts through the direct administration of contrast | surgical cholangiogram |
| the purpose of this procedure is to demonstrate the patency of the biliary and pancreatic ducts through the retrograde injection of contrast media into the hepatopancreatic ampulla | ERCP |
| body habitus impacts the location of the | gallbladder |
| structural study that evaluates the contours and anatomical structure of the urinary bladder | cystogram |
| functional stud of the urethra and urinary bladder used to determine the cause of urinary retention and possible reflux of ureters | voiding cystourethrography VCUG |
| which is functional a cystogram or VCUG | VCUG |
| which is a structural study a cystogram or VCUG | cystogram |
| for a VCUG females should be placed in a _ position | AP |
| for a VCUG males should be placed in a _ position | RPO |
| cystography AP/AP axial position | pt supine with legs extended CR: 2 inches superior to symphysis pubis with 10-15 caudal angle |
| lateral cystography position | CR: 2 inches superior and posterior to symphysis pubis |
| what is the optimal cystogram view and why | lateral due to large dose to gonads |
| LPO and RPO cystography position | 45-60 degree rotation CR: 2 inches superior to symphysis pubis and 2 inches medial to ASIS |
| what specifically does the posterior oblique cystography views demonstrate | UV junction |
| where is the CR for VCUG female | AP CR: pubic symphysis |
| where is the CR for VCUG male | RPO 30 degree oblique CR: pubic symphysis |
| study of the urinary system via IV contrast - functional and structural | IVU |
| AP IVU (scout and series) position | CR: level of the iliac crest |
| where is the CR for a nephrogram | midway xiphoid process and iliac crest |
| RPO / LPO IVU positioning | 30 degree rotation CR: iliac crest |
| when doing a RPO which kidney will be parallel with the IR | left kidney |
| when in an LPO we are looking at what ureter | left |
| post void IVU CR | CR: iliac crest |
| where do we compress for ureteric compression | distal ends of the ureter |
| retrograde urography demonstrates | pelvicaliceal and ureter system - performed in OR after obstruction has been determined |
| HSG primary indication is | infertility |
Created by:
macummins1