chest lab quiz

all but lateral abdomen kvp

70-80 kvp

lateral abdomen kvp

80-85 kvp

iliac crest

AP/PA, lateral abdomen(unless diaphragm is needed)

2 inches above iliac crest

left lateral decub, AP erect, Dorsal decub, lateral diaphragm (only if diaphragm is needed)

AP/PA best demonstrated

• Entire kidney outlines 

• Symphysis pubis seen at lower margin

• Outline of liver, spleen, 

• Air filled stomach and bowl segments

• Iliac wings, obturator foramina, ischial spines symmetric

left lateral decubitus best demonstrated

• Free intraperitoneal air in area of liver (upside)

• air/fluid levels 

• Air filled stomach 

• Loops of bowel 

• Bilateral diaphragm

• Both sides of body included

AP erect best demonstrated

• Bilateral diaphragm 

• As much lower abdomen as possible

• Air filled stomach

• Bowel loops

• air/fluid levels 

• Accumulation of intraperitoneal air under diaphragm 

dorsal decub/lateral abdomen

• Diaphragm and as much lower abdomen as possible

• Air filled loops of bowels with soft tissue detail 

• air/fluid levels 

• Aneurysms 

• Calcification of aorta or other vessels 

• Umbilical hernias

acute abdomen series 3 way

AP SUPINE, AP ERECT (do first), PA CHEST(visualizes free air under diaphragm)

acute abdomen series 2 way

AP SUPINE

AP ERECT- left lateral decub if patient cant stand- must include diaphragm

Pathologic

Ileus, ascites, perforated hollow viscus, intraabdominal mass, post op abdominal surgery