N T R O XR Interpretation T O C L I N I C A L P R A C T I C E - - PowerPoint PPT Presentation

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N T R O XR Interpretation T O C L I N I C A L P R A C T I C E - - PowerPoint PPT Presentation

Oct 17, 2022 438 likes •911 views

N T R O XR Interpretation T O C L I N I C A L P R A C T I C E Approach to CXR 1. ASSESS THE IMAGE Rotation Exposure Imaging technique (PA/AP, inspiration) 2. TUBES AND LINES 3. ANATOMY Heart/mediastinum Lungs and pleura

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N T R O

T O C L I N I C A L P R A C T I C E

XR Interpretation

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Approach to CXR

  • 1. ASSESS THE IMAGE
  • Rotation
  • Exposure
  • Imaging technique (PA/AP, inspiration)
  • 2. TUBES AND LINES
  • 3. ANATOMY
  • Heart/mediastinum
  • Lungs and pleura
  • Extra-thoracic structures

– Upper abdomen – Bones and soft tissues

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CXR Demo

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CXR 1

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CXR 2

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CXR 3

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CXR 4

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CXR 5

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Air

  • Pneumoperitoneum

Bowel/Bones

  • Obstruction (distension, air fluid levels)
  • Volvulus (coffee bean)
  • Mural edema (thumbprinting)

Calcification/Clips

  • Gallstones
  • Renal/bladder calculi
  • Dystrophic calcifications (chronic pancreatitis)
  • Surgical clips and foreign bodies

Soft tissues

  • Organomegaly or mass

Approach to AXR

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AXR Demo

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Supine

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AXR 1

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Upright Supine

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AXR 2

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Supine Supine

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AXR 3

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Upright Supine

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AXR 4

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AXR 5

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Supine Upright

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Interpretation of MSK Radiographs

Soft Tissues

– Joint effusion – Swelling – Calcification/Intra-articular body

Bones

– Integrity – Mineralization

Joints

– Cartilage space – Alignment

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Bone Demos

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Bone 1

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Cross-table lateral

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Bone 2

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Bone 3

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Normal No Effusion

Radial Head Fracture

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Bone 4

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Bone 5

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APPROACHES

CXR Image Tube and Lines Anatomy

Heart/Mediastinum Lungs/Pleura Extra-thoracic

AXR Air Bowel/Bones Calcification Soft tissues Bone XR Soft Tissues Bones Joint

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YOUR FEEDBACK IS IMPORTANT ! Feedback helps improve

This session Your facilitators The MED SCHOOL EXPERIENCE

Workshop Credits

  • XRs and XR approaches by Brian Kruger (2017)
  • Reviewed and edited by Jason Motkoski (2018)
  • Workshop design and additions by Anthony Seto and Lucas Streith (2017 – 2018)