MJ - RQII Final TQs - Haley

What is the SID for a PA chest?

72”

What is the PP for a PA chest?

standing with chest against IR

What is the collimation for a PA chest?

14×17

What is is the breathing instructions for a chest film?

Inhale and hold - fill lungs!

What are some pertinent negatives for a PA chest?

Adequate inspiration - 7 anterior and 10 posterior ribs over lungs

<10 ribs → lung collapse or hypoinflation

11/12 ribs → COPD, emphysema

Why should we always identify the AP lordotic view?

Heart is too large (magnified from AP projection)

Clavicles above lung apices

What is the PP for a lateral chest?

Left side touching IR, arms straight up over head (move from retrosternal clear space)

What are the primary pertinent negatives for a lateral chest film?

Symmetrical hemidiaphragms

Costophrenic angles - POSTERIOR gutter should be clear, more sensitive than R

Normal bony anatomy

No abdominal ST calcifications

What is the PP for an AP rib?

Stand AP, with arm on side being imaged abducted away from side to avoid overlapping of thoracic cage

What is the difference between an anterior and posterior oblique rib?

Anterior - affected side AWAY from bucky

Posterior - affected side TOWARD bucky

What is the MC location of a rib injury?

Costal angle

What rib view gives best clarity of costal angles?

Posterior oblique

What are the breathing instructions for any upper rib view?

Inhale and hold

What is the PP for AP lower ribs?

Standing AP (facing tube) and both arms slightly abducted

What is the CR for a lower rib view?

bottom of IR at top of iliac crest, vertical CR at mid-clavicular line

What are the breathing instructions for a lower rib?

Exhale and hold

What is the PP for an oblique lower rib?

face tube with affected side oblique 45 degrees TOWARD IR, both arms slightly abducted

What are the breathing instructions for an AP abdomen?

Exhale and hold

T/F: Shielding is necessary for an AP abdomen.

False

Which shoulder views are taken landscape?

AP internal rotation

AP external rotation

Which shoulder view is taken in portrait?

Scapular Y-view

What anatomy is demonstrated in an internal shoulder view?

Lesser tuberosity

What is the PP for a shoulder internal rotation?

Back flat against bucky

Dorsum of hand against thigh

Internally rotate arm until epicondyles are perpendicular to IR

What is the collimation for an internal rotation view of the shoulder?

12×10 (landscape)

What is another name for the shoulder external rotation view?

Grashey view

What anatomy is pertinent on the shoulder external rotation view?

Greater tuberosity

In what view is the GH view best visualized?

Shoulder external rotation

What is the PP for a shoulder external rotation?

Scapula flat on bucky, externally rotate arm until epicondyles are 45 degrees/parallel to IR

What is the collimation for a Grashey view?

12×10 (landscape)

What is the tube tilt for a scapular Y view?

15 degrees caudal

What is the collimation for a Neer Scapular Y View?

10×12 (portrait)

T/F: In an AP acromioclavicular view WITH weights, patient only holds weights in the side being imaged.

False - hold weights in both hands

What is the PP for an AP axial

back to IR

What is the tube tilt for an AP axial clavicle?

15 degrees cephalic

Bony features with associated bones!

Conoid - clavicle

Coracoid - scapula

Coronoid - ulna

How should the elbow epicondyles be positioned for an AP humerus?

Epicondyles parallel to the film

What are the supplementary elbow views?

Coyle - radial head

Jones - olecranon

What feature is shown on a Coyle supplementary view?

Radial head

What feature is shown on a Jones supplementary view?

Olecranon

How should the hand be positioned for an AP elbow?

Hand supinated - palm up

What view is specifically good for viewing the coronoid process?

Internal oblique elbow

How should the hand be positioned for an internal oblique elbow view?

Hand pronated - palm down

What view is best for radial head and neck independent of other anatomy?

External oblique elbow

What features are primarily visible on a lateral elbow?

Fat pads and humeral diaphysis

What does CRITOE stand for (elbow ossification order)?

Capitellum - 1 year

Radial head - 3 yrs

Internal (medial) epicondyle - 5 yrs

Trochlea - 7 yrs

Olecranon process - 9 yrs

External (lateral) epicondyle - 11 yrs

What is the PP for a lateral forearm?

Elbow flexed to 90 degrees with humerus and forearm flat on IR, thumb up

What is the tube tilt for a PA wrist with ulnar deviation?

20 degrees cephalic (shoot up arm)

What is a supplementary view for the hand?

Ball catchers - Norgaards

What is the PP for an AP pelvis?

Recumbent and supine with arms at sides

Legs must be internally rotated 15°

What is the PP for an AP hip?

Recumbent and supine with arms at sides

Legs must be internally rotated 15°

What is the tube tilt for an AP sacrum?

15° cephalic

What is the tube tilt for an AP coccyx?

10° caudal

What is the tube tilt for an AP knee and lateral knee?

5° cephalic

What does the oblique ankle view demonstrate?

Distal tibia and fibula - no longer overlap → give better view of syndesmotic/distal tibiofibular joint (high ankle sprain), talar dome (no overlap), cephalic calcaneus

What view is best for a high ankle sprain?

Oblique ankle view

What is the tube tilt for an AP foot?

10° cephalic