Faculty Disclosure Nothing to disclose Educational Need/ Practice - - PDF document

▶

May 17, 2023 209 likes •423 views

3/31/2011 Helpful Hints for Clinically Important Plain X-Ray Images I. chest/ airway I. chest/ airway [ II. abdomen Dr Challa] Alan E. Oestreich, MD, FACR Professor, Radiology and Pediatrics University of Kentucky and Professor Emeritus,

SLIDE 1

3/31/2011 1

Helpful Hints for Clinically Important Plain X-Ray Images

I. chest/ airway
I. chest/ airway

[ II. abdomen – Dr Challa]

Alan E. Oestreich, MD, FACR

Professor, Radiology and Pediatrics University of Kentucky and Professor Emeritus, Radiology University of Cincinnati

Faculty Disclosure

Nothing to disclose

Educational Need/ Practice Gap

To raise awareness of the role

f h d i

f chest and airway

radiograph interpretation in clinical care situations

SLIDE 2

3/31/2011 2

Objective

The attendee should be able to

recognize and understand the upper airway conditions l b l h d epiglottits, bacterial tracheitis, and membranous croup; and signs of lung infiltrates and air trap phenomena in the thorax

Expected Outcome

A greater awareness of the x‐

ray patterns of epiglottitis, croup and membranous croup and membranous croup, “hidden” pneumonias, and free intrathoracic air

SLIDE 3

3/31/2011 3

SLIDE 4

3/31/2011 4

upper respiratory tract

Alan Oestreich MD

SLIDE 5

3/31/2011 5

symmetric subglottic narrowing : croup, but over about 2 years old, consider bacterial tracheitis Note – many cases of epiglottitis also have symmetric subglottic narrowing asymmetric: consider membranous croup (or whooping cough) if acute; otherwise, such things as prior intubation, vascular malformations, …

SLIDE 6

3/31/2011 6

The most common round soft-tissue density in the lung of a child is air bronchogram sign

SLIDE 7

3/31/2011 7

from Albuquerque: #19 not just “cough and fever”

(…. from #17 to #2)

SLIDE 8

3/31/2011 8

SLIDE 9

3/31/2011 9

SLIDE 10

3/31/2011 10

SLIDE 11

3/31/2011 11

silhouette sign

SLIDE 12

3/31/2011 12

SLIDE 13

3/31/2011 13

] ]

lucent waterwings sign; sharp edge sign; raised thymus sign

pneumomediastinum

SLIDE 14

3/31/2011 14

SLIDE 15

3/31/2011 15

SLIDE 16

3/31/2011 16

SLIDE 17

3/31/2011 17

SLIDE 18

3/31/2011 18

SLIDE 19

3/31/2011 19

SLIDE 20

3/31/2011 20

epiglottitis -croup -bacterial tracheitis – membranous croup pneumonia may be round –look behind the heart –look behind the diaphragm sharp edge sign pneumothorax – pneumomediastimum –pneumopericardium look at what you forget to look at look at what you forget to look at look everywhere else (except epiglottitis)