Image Critique makes me weak!
Uh oh! You missed this crucial step while performing a mediolateral lateral knee projection and must repeat as the knee joint space is closed :(
What is angle the CR 5-7 degrees cephalad?
TKR
What is Total Knee Replacement?
What CE or C+ might mean.
Wheelchair transfer time! Don't get too excited though, be sure to do this critical safety step before assisting the patient to stand out of the chair.
What is lock the wheelchair wheels?
Less than 9 posterior ribs above the diaphragm for a PA chest x-ray? The patient must not have heard you when you instructed them to do this.
What is "take a breath in and hold it"?
In a lateral wrist projection, look at the relationship between these two carpal bones to assess accuracy of positioning.
What are pisiform and scaphoid?
"R, L, rt, lt" are all common and accepted forms of shorthand for this detail that must accompany extremity imaging orders.
What is laterality?
What a patient should expect to feel during contrast media injection.
What is warm flushing feeling, metallic smell/taste, and feeling like they are peeing?
Your patient, Chatty Cathy, suddenly isn't so chatty... time to assess these.
What are ABCs?
In an oblique L-spine projection, the anatomical part represented by the "neck" of the Scotty dog. And, if the dog is "wearing a collar", this means a fracture. Without slippage of the vertebral body, demonstrates this pathology.
What is pars interarticularis of the L-spine vertebrae and spondylolysis?
In a PA chest x-ray, the patient position that would demonstrate the right sternal clavicular end further from the vertebral column than the left sternal clavicular end.
What is LAO?
Positive fracture? Time grab the C-arm and head to the OR for this surgical procedure... it's a lot faster just to say "ORIF".
What is open reduction internal fixation?
The CT scan mode that technically offers the best image quality but is not compatible with large scan ranges of living, breathing patients.
What is axial scanning?
MVC patient arrives in a C-spine collar for CT imaging. Make sure you have lots of hands on deck to do this before transferring the patient with a slide board.
What is log roll?
In lateral L-spine x-ray, the L5-S1 joint space is usually closed, thanks to this feature of the x-ray beam geometry.
What is beam divergence?
In a lateral elbow projection, the positioning error that would result in the radial head demonstrated posterior to the coranoid process of the ulna.
What is proximal humerus elevation?
The abbreviation PTX, shorthand for this condition, might prompt you to perform the chest x-ray with these breathing instructions.
What is pneumothorax and expiration?
What is stop the injection, stop the scan, assess the injection site for extravasation/interstitial IV?
Consider these 4 features when palpating for an appropriate IV access site.
What are well anchored, straight path, size, and location/proximity to an artery?
The positioning error that would cause closed DIP and PIP joints in a PA hand x-ray.
What is flexion of the digits?
In a lateral C-spine projection the positioning error that would result in the vertebral foramen of C1 being demonstrated.
What is head tilted towards the IR?
A&O x3
What is alert and oriented to person, place, and time?
CODE STROKE! Better clear the room and prepare to scan these three phases as part of the stroke protocol.
What are non-contrast brain, arterial phase of carotid+COW, and brain delay phase?
Your patient with COPD has difficulty breathing while lying supine for a pre-op knee x-rays. Do this to help keep them breathing comfortably.
What is elevate the head/shoulders/chest?
In a PA oblique shoulder projection (Y view), the positioning error when the lateral border of the scapula is positioned closer to the thorax than the vertebral border.
What is excessive obliquity?