critique of the sternum and ribs chapter 9. sternum (rao) contrast & density to see jugular...
TRANSCRIPT
![Page 1: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/1.jpg)
Critique of the Sternum and Ribs
Chapter 9
![Page 2: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/2.jpg)
![Page 3: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/3.jpg)
Sternum (RAO)
Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60-70 kVp)This view rotates the sternum from behind the T-spine30 inch SID/ breathing technique/ 3 to 4 second exposure timeRotation 15-20 degrees, Sternum should be within heart shadowMidsternum in center of field
![Page 4: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/4.jpg)
Sternum (lateral)
70 to 75 kVp
manubrium, sternal body & xiphoid process seen in profile with no superimposition of the anterior ribs over the sternum
Midsternum in center of field
Position getting patient in full inspiration
![Page 5: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/5.jpg)
![Page 6: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/6.jpg)
![Page 7: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/7.jpg)
Ribs ( AP & PA)
65 to 70 kVp (upper)75 to 80 kVp (lower)When fractures occur, other pathology is closely looked for. Pneumothorax, emphysema, rupture of trachea, bronchus, or aortaFor lower pathology, kidney, liver, spleen or diaphragm damageFor anterior rib pain, do PA projection to place them closer to film/ and vice versa
![Page 8: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/8.jpg)
AP or PA of Ribs above diaphragm
For AP & PA remove scapula from lung field
See 9 posterior ribs above diaphragm
7th posterior rib in center of field (halfway between jugular notch & xiphoid process)
Full inspiration
![Page 9: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/9.jpg)
![Page 10: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/10.jpg)
AP & PA of Ribs below diaphragm
9th – 12th posterior ribs seen below diaphragm
Use higher kVp to penetrate abdominal tissue
9th or 10th posterior rib in center of field halfway between sternum and xiphoid process
For hypersthenic patient with short, wide thorax, place lower border of cassette 2 inches above the crest, then center central ray to film
![Page 11: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/11.jpg)
![Page 12: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/12.jpg)
![Page 13: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/13.jpg)
![Page 14: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/14.jpg)
![Page 15: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/15.jpg)
![Page 16: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/16.jpg)
![Page 17: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/17.jpg)
Ribs (anterior & posterior obliques)
65 to 70 kVp upper/ 75 to 80 kVp lower
Axillary rib detail is best in posterior oblique / axillary ribs closest to film and better view of sternum
Thorax rotated 45 degrees/ the inferior sternum is positioned halfway between the vertebral column and anterior ribs
![Page 18: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/18.jpg)
Posterior & Anterior oblique Ribs above & below diaphragm
9 axillary ribs seen/ full inspiration
?7th axillary rib in center of field
Below: 9th – 12th axillary ribs seen expiration
9th or 10th axillary rib in center of field
![Page 19: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/19.jpg)
![Page 20: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/20.jpg)
![Page 21: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/21.jpg)
![Page 22: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/22.jpg)
![Page 23: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/23.jpg)
![Page 24: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/24.jpg)
![Page 25: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/25.jpg)
![Page 26: Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70](https://reader036.vdocuments.us/reader036/viewer/2022062515/56649cb85503460f9497f2d2/html5/thumbnails/26.jpg)