Abnormal Chest X-rays
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Questions and Answers

Which modality provides functional information such as rates of metabolism and levels of various other chemical activity?

  • Ultrasound
  • Conventional radiography
  • CT scan
  • Nuclear imaging (correct)
  • Which modality is limited in demonstrating dense bone detail or calcifications?

  • MRI (correct)
  • Conventional radiography
  • Nuclear imaging
  • CT scan
  • Which modality shows how blood flows to tissues and organs?

  • Ultrasound
  • CT scan
  • Conventional radiography
  • Nuclear imaging (correct)
  • Which modality measures important body functions such as blood flow, oxygen use, and glucose metabolism?

    <p>Nuclear imaging</p> Signup and view all the answers

    Which modality combines anatomy and function knowledge to pinpoint the anatomic location of abnormal metabolic activity?

    <p>Nuclear imaging</p> Signup and view all the answers

    Which modality is characterized by bright echoes (white) in hyperechoic/echogenic areas?

    <p>Ultrasound</p> Signup and view all the answers

    Which modality is limited by the availability of radionuclides?

    <p>Nuclear imaging</p> Signup and view all the answers

    Which modality provides outstanding soft tissue contrast?

    <p>CT scan</p> Signup and view all the answers

    Which modality is the least expensive compared to exploratory surgery?

    <p>Conventional radiography</p> Signup and view all the answers

    Which modality has no ionizing radiation?

    <p>CT scan</p> Signup and view all the answers

    Which of the following is a possible explanation for the extravasation of media in the patient's arm during the CT scan?

    <p>The vessels were friable and could not withstand pressure</p> Signup and view all the answers

    What is the potential risk of contrast media extravasation in perforated intestinal tracts?

    <p>Peritonitis</p> Signup and view all the answers

    What are the clinical history and physical exam findings that may indicate perforation?

    <p>Abdominal pain and air in the peritoneum</p> Signup and view all the answers

    What is the purpose of obtaining complete history and physical examination results from the patient?

    <p>To identify signs of perforation</p> Signup and view all the answers

    Which imaging modality is being discussed in the text?

    <p>CT scan</p> Signup and view all the answers

    What is the main concern when extravasation of contrast media occurs?

    <p>Peritonitis</p> Signup and view all the answers

    What are the possible consequences of wrong placement of contrast media during a CT scan?

    <p>Extravasation</p> Signup and view all the answers

    What is the significance of vessels being friable in the context of contrast media extravasation?

    <p>They are unable to withstand pressure and may burst</p> Signup and view all the answers

    What is the importance of a preliminary abdominal x-ray in assessing perforation?

    <p>To check for air in the peritoneum</p> Signup and view all the answers

    What is the emphasis on obtaining complete history and physical examination results from the patient?

    <p>To identify signs of perforation</p> Signup and view all the answers

    Which of the following is a potential consequence of high-dose radiation exposure to the gastrointestinal (GI) system?

    <p>Diarrhea and vomiting leading to profound dehydration</p> Signup and view all the answers

    What is the threshold dose for cerebrovascular syndrome associated with high acute radiation exposure?

    <p>100 Gy</p> Signup and view all the answers

    What is the latency period for the onset of symptoms after high-dose radiation exposure to the GI system?

    <p>3-5 days</p> Signup and view all the answers

    What is the survival rate after high-dose radiation exposure to the GI system?

    <p>None</p> Signup and view all the answers

    What is the mechanism of cerebrovascular syndrome associated with high acute radiation exposure?

    <p>Severe damage to CNS, cardiovascular, and respiratory systems</p> Signup and view all the answers

    What are the symptoms of cerebrovascular syndrome?

    <p>Ataxia, disorientation, hypotension, shock, and respiratory distress</p> Signup and view all the answers

    What is the potential risk of fetal radiation exposure?

    <p>Death or gross malformations</p> Signup and view all the answers

    What is the threshold dose for fetal radiation exposure to result in death or gross malformations?

    <p>0.1 mSv to 1 mSv</p> Signup and view all the answers

    What is the potential risk of fetal radiation exposure in relation to cancer?

    <p>Increased risk of cancer in later childhood</p> Signup and view all the answers

    What is the significance of vessels being friable in the context of contrast media extravasation?

    <p>Increased risk of perforation</p> Signup and view all the answers

    Study Notes

    Functional Imaging Modalities

    • Positron Emission Tomography (PET) provides functional information such as rates of metabolism and levels of various other chemical activity.
    • PET measures important body functions such as blood flow, oxygen use, and glucose metabolism.
    • PET combines anatomy and function knowledge to pinpoint the anatomic location of abnormal metabolic activity.

    Ultrasound Modality

    • Ultrasound is characterized by bright echoes (white) in hyperechoic/echogenic areas.
    • Ultrasound provides outstanding soft tissue contrast.

    Nuclear Medicine Modality

    • Nuclear Medicine is limited by the availability of radionuclides.

    Computed Tomography (CT) Modality

    • CT is limited in demonstrating dense bone detail or calcifications.
    • CT shows how blood flows to tissues and organs.

    Radiation Concerns

    • High-dose radiation exposure to the gastrointestinal (GI) system can cause a potential consequence of gastrointestinal syndrome.
    • The threshold dose for cerebrovascular syndrome associated with high acute radiation exposure is 6000-8000 rads.
    • The latency period for the onset of symptoms after high-dose radiation exposure to the GI system is 1-2 weeks.
    • The survival rate after high-dose radiation exposure to the GI system is 0-10%.
    • Cerebrovascular syndrome is associated with high acute radiation exposure, which can cause symptoms such as headaches, vomiting, and seizures.
    • The mechanism of cerebrovascular syndrome is the damage of blood vessels in the brain.

    Contrast Media Extravasation

    • The extravasation of contrast media can occur due to fragile or friable vessels.
    • The potential risk of contrast media extravasation in perforated intestinal tracts is peritonitis.
    • Clinical history and physical exam findings that may indicate perforation include abdominal tenderness, guarding, and rebound.
    • Obtaining complete history and physical examination results from the patient helps to identify potential risks and consequences of contrast media extravasation.
    • The main concern when extravasation of contrast media occurs is the risk of an allergic reaction, nephrotoxicity, or cardiac arrhythmias.
    • Possible consequences of wrong placement of contrast media during a CT scan include tissue necrosis, nerve damage, and compartment syndrome.
    • A preliminary abdominal x-ray is important in assessing perforation to rule out free air in the abdominal cavity.

    Fetal Radiation Exposure

    • The potential risk of fetal radiation exposure is a concern, with a threshold dose of 10-20 rads to result in death or gross malformations.
    • The potential risk of fetal radiation exposure in relation to cancer is a concern, with an increased risk of childhood cancer.

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