Chest Xray

 Chest Xray Essay

rChest X-Ray – PIER + ABCDEFGH

Identify the pt: DOB, CC, HPI

PIER

Utilize " PIER" mnemonic to evaluate for adequacy of the film. * Placement: Typically, vertical PA and lateral. Sick patients will have the fuzzier supine AP (because the film can be slid underneath their torso as they are lying down). Scale the center is high in AP view compared to PA. Edge of the inside border of scapula are at the midline of lung field in AP. 5. Inspiration: Depend the visible ribs. Chest fields will need to extend to about the 10th or perhaps 11th rib. * Coverage: If the film is penetrated enough, you ought to be able to figure out the spinous processes " inside" the vertebrae. In the event the film is definitely underexposed/too white, you won't manage to see them. If the film is overexposed/too black, bony details will probably be lost. 5. Rotation: Evaluate the clavicals. They should appear symmetric and similar in length. At this point systematically function with the x-ray.

ABCDEFGH

Evaluate the film with ABCDEFGH pneumonic.

2. Airway: are definitely the trachea and mainstem bronchi patent; is a trachea midline? * Bone tissues: are the clavicles, ribs, and sternum present and are generally there fractures, lytic lesions? 2. Cardiac shape: is the size of the cardiovascular system > ½ thoracic diameter (enlarged)? * Diaphragm: are definitely the costophrenic and costocardiac margins sharp? is definitely one hemidiaphragm enlarged above another? can be free air flow present under the diaphragm? * Effusion/Empty space: is either present?

2. Fields (lungs): are there infiltrates, increased interstitial markings, world, air bronchograms, increased vascularity, or tenue signs? 5. Gastric bubble: is it present and on the proper (left) part? * Devanar region: perhaps there is increased retorcer lymphadenopathy?

Right now check the areas you forgot to seem:

1 . Soft Tissue - Breast shadows, supraclavicular regions, axillae, chest wall membrane. Look for thickness, subcutaneous emphysema (air bubbles-dark spots), calcifications (bright spots). 2 . At the rear of the heart

3. The...


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