CORRECT ANSWERS |AGRADE
extra pulmonary air indicates: - ANSWER--pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
Epiglottitis: - ANSWER--above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged flattened epiglottis
-thumb sign
Tx: intubate
Croup (laryngotracheobronchitis) - ANSWER-infection of upper airway characterized by a barky
cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket fence, pencil point, hour
glass)
Treatment: racemic epi and O2
ETT Placement: - ANSWER-2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
AP radiograph: - ANSWER-front to back
PA radiograph - ANSWER-back to front
Lateral radiograph - ANSWER-sides
Oblique CXR - ANSWER-standing/diagonal- lesions
Lateral decubitus - ANSWER-lying on AFFECTED side-- pleural effusions
Apical lordotic - ANSWER-tops of lungs used to confirm TB
, End exp. image - ANSWER-detect small pnuemos
Confirming quality of CXR image - ANSWER-- clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are found
-vascular markings
Enlarged Heart in CXR - ANSWER-cardiomegaly--- CHF- pericardial effusion
Normal CXR - ANSWER--hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
Blood Pressure - ANSWER-120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
Heart sounds: - ANSWER-S1- ventricles contract
S2-ventricles relax
(LUB-DUB)
S3 & S4 not good; recommend echo
pleural friction rub - ANSWER-Coarse grating raspy or crushing sound
TB, pneumonia, PE, and hemothorax