rad tech 270
DESCRIPTION
Rad Tech 270. Bony Thorax Ribs & Sternum. Rib Series. AP or PA depending on the location of the patient’s pain Inspiration above diaphragm Expiration below diaphragm On initial presentation for trauma you will include a chest film. Ribs Cont. - PowerPoint PPT PresentationTRANSCRIPT
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Rad Tech 270
Bony ThoraxRibs
&Sternum
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Rib Series
• AP or PA depending on the location of the patient’s pain– Inspiration above diaphragm– Expiration below diaphragm
• On initial presentation for trauma you will include a chest film
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Ribs Cont.
• Generally, rib obliques are going to be unilateral
• An AO or PO oblique again depending of location of pain– Anterior pain, opposite AO oblique– Posterior pain, affected PO oblique
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LAOFor Rt anterior ribs
RPOFor Rt posterior ribs
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We are looking from the feet
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Again we are looking from the feet
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LAOFor Rt anterior ribs
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LPOFor left posterior ribs
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Which oblique do I do?
• The Rule is that the spinous process of the thoracic vertebra is always pointing away from the ribs of interest.
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Pediatric rib fracture
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Flail chestAt least2 fracturesIn 2 ribs
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Hemothorax
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Tension pneumothorax
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CT tension pneumothorax
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Bony mets
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Sternum Series
• RAO– Breathing technique to minimize rib shadows– 30 inch SID is also recommended to help blur
the posterior ribs• Lateral
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This method requires that the patient lean over the table. From a practical stand point it doesn’t work very well.
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Multiple myeloma
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Infected SC joint
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Metastatic breast cancer