Chest Radiology PFN: SOMXRL06slides.jsomtc.org/SOMXRL06/SOMXRL06.pdfAccident & Emergency Radiology:...
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1 Slide 1 JSOMTC, SWMG(A) Chest Radiology PFN: SOMXRL06 Slide 2 JSOMTC, SWMG(A) Terminal Learning Objective Action: Communicate knowledge of “Chest Radiology” Condition: Given a lecture in a classroom environment Standard: Received a minimum score of 75% on the written exam IAW course standards Slide 3 JSOMTC, SWMG(A) References Accident & Emergency Radiology: A Survival Guide (2 nd edition; 2005; Raby, Berman, and Lacy) Learning Radiology: Recognizing the Basics (2 nd edition; 2012; Herring)
Transcript of Chest Radiology PFN: SOMXRL06slides.jsomtc.org/SOMXRL06/SOMXRL06.pdfAccident & Emergency Radiology:...
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Slide 1JSOMTC, SWMG(A)
Chest RadiologyPFN: SOMXRL06
Slide 2JSOMTC, SWMG(A)
Terminal Learning Objective
Action: Communicate knowledge of “Chest Radiology”
Condition: Given a lecture in a classroom environment
Standard: Received a minimum score of 75% on the written exam IAW course standards
Slide 3JSOMTC, SWMG(A)
References
Accident & Emergency Radiology: A Survival Guide (2nd edition; 2005; Raby, Berman, and Lacy)
Learning Radiology: Recognizing the Basics (2nd edition; 2012; Herring)
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Slide 4JSOMTC, SWMG(A)
Reason
As Special Operations Combat Medics you will need to have a basic understanding of common radiological studies and how they can be used to aid in the diagnosis and treatment of your patients.
Radiology a is vital component of medicine!
Slide 5JSOMTC, SWMG(A)
Agenda
Identify a technically adequate chest x‐ray
Utilize radiological principles to evaluate the structure and function of the chest
Slide 6JSOMTC, SWMG(A)
A Technically Adequate Chest X‐ray
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Slide 7JSOMTC, SWMG(A)
Adequate Chest X‐ray
Adequacy
As realistic image of internal structures as possible
Clinical correlation
Slide 8JSOMTC, SWMG(A)
If not adequate, the image is worthless!
Adequate Chest X‐ray
Slide 9JSOMTC, SWMG(A)
Adequate Chest X‐ray
Adequacy
The best views
• PA
• left‐lateral
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Slide 10JSOMTC, SWMG(A)
AP PA
Adequate Chest X‐ray
Affects of Magnification
Slide 11JSOMTC, SWMG(A)
Adequate Chest X‐ray
RIP ‐ Rest In Peace
R
I
Penetration
spiration
otation
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The spinous process equidistant from clavicular articulation
NO ROTATION
R
Adequate Chest X‐ray
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8‐10 visible posterior ribsINSPIRATION
I
10th
Adequate Chest X‐ray
Slide 14JSOMTC, SWMG(A)
Visible T‐spinePENETRATION
P
Adequate Chest X‐ray
Slide 15JSOMTC, SWMG(A)
Rotation
Penetration
Inspiration
R
No Rotation
Penetration
Inspiration
P
IYES!
Adequate Chest X‐ray
Is this image adequate?
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Slide 16JSOMTC, SWMG(A)
Radiological Principles to Evaluate the Structure and Function of the
Chest
Slide 17JSOMTC, SWMG(A)
Chest Radiology Principles
Structural Density
Contrasting shades
• normal or dysfunctional?
Slide 18JSOMTC, SWMG(A)
Chest Radiology Principles
Anatomical Awareness
Trachea/bronchi
Ribs
Clavicles
Arteries
Heart
Diaphragms
Lungs/pleura
Stomach
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Slide 19JSOMTC, SWMG(A)
Chest Radiology Principles
A B C D E F G
Airway
Bones
Cardiac silhouette
Diaphragms
Effusions
Fields
Gastric bubble
Slide 20JSOMTC, SWMG(A)
Chest Radiology Principles
Airway
Slide 21JSOMTC, SWMG(A)
Chest Radiology Principles
Bones
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Slide 22JSOMTC, SWMG(A)
Chest Radiology Principles
Cardiac Silhouette
Slide 23JSOMTC, SWMG(A)
Chest Radiology Principles
Diaphragms
Slide 24JSOMTC, SWMG(A)
Chest Radiology Principles
Effusions
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Slide 25JSOMTC, SWMG(A)
Chest Radiology Principles
Fields
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Chest Radiology Principles
Gastric Bubble
Slide 27JSOMTC, SWMG(A)
Chest Radiology Principles
Case Study
Adequate? (RIP)
Systematic evaluation (A‐G)
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Slide 28JSOMTC, SWMG(A)
Chest Radiology Principles
Case Study
Adequate? (RIP)
Systematic evaluation (A‐G)
Slide 29JSOMTC, SWMG(A)
Questions?
Slide 30JSOMTC, SWMG(A)
Terminal Learning Objective
Action: Communicate knowledge of “Chest Radiology”
Condition: Given a lecture in a classroom environment
Standard: Received a minimum score of 75% on the written exam IAW course standards
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Slide 31JSOMTC, SWMG(A)
Agenda
Identify a technically adequate chest x‐ray
Utilize radiological principles to evaluate the structure and function of the chest
Slide 32JSOMTC, SWMG(A)
Reason
As Special Operations Combat Medics you will need to have a basic understanding of common radiological studies and how they can be used to aid in the diagnosis and treatment of your patients.
Radiology a is vital component of medicine!
Slide 33JSOMTC, SWMG(A)
Teleconsultation FormatGet a second opinion tele‐consult from medical specialists by submitting a non‐secure email message with relevant attachment (JPEG,ECG,etc)
Used by deployed healthcare professionals
Physician, PA, Nurse, SF/IDMT, Medic
No Patient identifying information
No classified information
Patient Demographics:
Age, Branch of Service, Location
Duration of problems
Symptoms now
Getting Better? Worse? Staying Same?
Previous Treatment & Outcome/Effectiveness
Tests & Results
Your Differential Diagnosis
Limitations to Care for Patient
Medications? Procedures? Evacuation?
Attachments
Digital Images, Scanned EKG
Lab Findings, Radiographs
Include Physician in email
Consults Answered 7 Days/Week
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Slide 34JSOMTC, SWMG(A)
Teleconsultation Format
Consultation with established contact groups:
Burn – Trauma:
Cardiology:
Dermatology:
Infectious Disease:
Internal Medicine:
Nephrology:
Neurology:
Ophthalmology:
Orthopedics:
Pediatrics;
Prevent Medicine/ Occupational Medicine:
Rheumatology:
Traumatic Brain Injury:
Toxicology:
Urology:
For consultations for all other specialties email
Mr.(LTC‐retired) Charles Lappan: [email protected]
OTSG Telemedicine Teleconsultation Project Manager
Slide 35JSOMTC, SWMG(A)
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