Interpreting A CXR PDF

Summary

This document provides an overview of interpreting a chest x-ray (CXR). It covers a systematic approach, common conditions and specific details like: assessment, airway, bones, cardiac, diaphragm and more. It's a valuable resource for medical professionals.

Full Transcript

Interpreting a CXR C. Heffernan Feb 2021 Objectives  Demonstrate a systematic approach to reading a CXR  Interpret common CXR  Life-threatening conditions  Common acute conditions ABCDEGHI method  ALWAYS start Name/DOB/Film  Start with obvious then go sy...

Interpreting a CXR C. Heffernan Feb 2021 Objectives  Demonstrate a systematic approach to reading a CXR  Interpret common CXR  Life-threatening conditions  Common acute conditions ABCDEGHI method  ALWAYS start Name/DOB/Film  Start with obvious then go systematic  Assessment/Airway  Bones  Cardiac  Diaphragm  Effusion  Fissures  Great vessel and Gastric bubble  Hila mediastinum  Impression Assessment/Airway  THINK ‘RIPE’  Rotation  Clavicle and margin of vertebra should be equal  Check trachea: is it central, Carina  Look for indwelling devices  Inspiration  Should see anterior 5-7 ribs. Hyper-inflated if 8+  Projection  PA (Posterior to anterior (Normal if not stated) or AP  Exposure  Good detail. If over-exposed: more white, under-exposed: more black  Should barely see vertebrae behind heart Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 33225 BONES  Check for fractures  Disolactions  Lesions  Osteopenia  Soft tissues  Subcutaneous air  Pneumothorax etc  Case courtesy of Dr Usman Bashir, Radiopaedia.org, rID: 18394 Cardiac  Cardiac size  From midline to apex

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