rad 251 practical critical thinking

1.Perform the appropriate exam of the skull to best demonstrate the frontal bone, with the petrous ridges projected in the lower 1/3 of the orbits.

PA caldwell

2.Perform the appropriate exam of the skull that best demonstrates the frontal bone with the petrous ridges filling the orbits.

PA skull

Perform the appropriate exam of the skull to best demonstrate the sella turcica in profile.

lateral skull

4.Perform the appropriate exam to best demonstrate the facial bones in profile.

lateral facial bones

5.Perform the appropriate PA exam of the sinuses to best demonstrate the frontal sinuses, with the petrous ridges projected in the lower 1/3 of the orbit.

PA caldwell sinuses

(one with the sponge)

1. Perform the appropriate BE exam to best demonstrate barium in the ascending and descending colon and air in the transverse colon.

AP BE (supine position)

2. Perform the appropriate PA BE exam to best demonstrate an open hepatic flexure.

RAO BE

3. Perform the appropriate AP BE exam to best demonstrate an open splenic flexure.

RPO BE

4. Perform the appropriate exam of the stomach to best demonstrate a barium-filled fundus.

LPO UGI

5. Perform the appropriate AP exam to best demonstrate the left kidney perpendicular to the IR.

LPO IVP (30 deg patient rotation)

6. Perform the appropriate exam to best demonstrate the neck of the bladder projected away from the rest of the bladder.

AP axial bladder (10 to 15 degrees caudad)

1. Perform the appropriate exam to best demonstrate the right intervertebral foramina of the cervical spine.

LPO C-spine

2. Perform the appropriate exam to best demonstrate the intervertebral disc spaces of the thoracic spine.

LAteral T-spine

3. Perform the appropriate exam to best demonstrate the left side zygapophyseal joints of the lumbar spine.

LPO L-spine

1. Perform the appropriate exam to best demonstrate the posterior ilioishcial column.

Judet method (external oblique/ rotation) * also shows anterior rim of the acetabulum

2. Perform the appropriate exam to best demonstrate an anterior upper rib injury.

PA upper ribs upright (inspiration)

3. Perform the appropriate exam to best demonstrate and posterior upper rib injury.

AP upper ribs upright (inspiration)

1. Perform the appropriate exam to best rule of a fracture of the c-spine in a trauma situation.

Lateral C-spine

2. Perform the appropriate exam to best rule out a fracture of the facial bones in a trauma situation.

reverse waters method

3. Perform the appropriate exam of the elbow in a trauma situation to demonstrate the radial head free of superimposition.

coyle method 45 deg towards the head, patients arm at 90 deg pronated

1. Perform the appropriate exam of the humerus to demonstrate the lesser tubercle in profile medially, and the greater tubercle superimposed over the humeral head.

shoulder internal rotation

2. Perform the appropriate exam of the humerus to demonstrate the humeral head and greater tubercle in profile.

shoulder external rotation