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RSNA ICU Draft testing

RSNA ICU Draft testing. JK Amorosa. 1. #1 What is the Interval change?. 1. Removal of Dobhoff feeding tube 2.Repositioning of Dobhoff to more appropriate position 3.Repositioning of Dobhoff which was initially in an appropriate position 4.Insertion of an endotracheal tube 5.No change. 2.

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RSNA ICU Draft testing

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  1. RSNA ICU Draft testing JK Amorosa

  2. 1

  3. #1 What is the Interval change? 1. Removal of Dobhoff feeding tube 2.Repositioning of Dobhoff to more appropriate position 3.Repositioning of Dobhoff which was initially in an appropriate position 4.Insertion of an endotracheal tube 5.No change

  4. 2

  5. #2 What is the interval change? 1. Insertion of an orogastric tube 2.New RML consolidation 3.Removal of endotracheal tube 4.Insertion of a left chest tube 5.No change

  6. 3

  7. #3 What is the interval change? • 1. Insertion of a right PICC line • 2. Removal of an endotracheal tube and orogastric tube • 3. Insertion of a Swan-Ganz catheter • 4. New left chest tube • 5. No change

  8. 4

  9. #4 What is the interval change? 1.New right middle lobe consolidation 2.New right middle lobe atelectasis 3. New right pleural effusion 4.New right lower lobe atelectasis 5. No change

  10. 5

  11. #5 What is the interval change? 1.Removal of Left jugular line 2.Removal of Right jugular line 3. Removal of Impella LVAD 4.Right lower lobe atelectasis 5. No change

  12. 6

  13. #6 What is the interval change? 1.New right middle lobe consolidation 2.New right middle lobe atelectasis 3. New right pleural effusion 4.New right lower lobe atelectasis 5. No change

  14. 7

  15. #7 What is the interval change? • Insertion of new lead wire in right atrium • Fracture in lead wire • Insertion of new pacemaker generator • A and C • No change

  16. 8

  17. #8 What is the interval change? • RLL atelectasis • Fracture of pacer wire • New R PICC • L pneumothorax • No change

  18. 9

  19. #9 What is the interval change? • Removal of ET • Removal of pacemaker generator • A and B • B and C • No change

  20. 10

  21. #10 What is the interval change? • Removal of Swan-Ganz catheter • Insertion of aortic baloon • Removal of OG tube • Removal of ET • No change

  22. 11

  23. #11 Is there a misplaced line? • Yes • No

  24. 12

  25. #12 In addition to a small Ptx what is the interval change? • Insertion of ET • New L subclavian line • Repositioned L chest tube • All of the above • No change

  26. 13

  27. #13 What is the interval change? • Insertion of ET • New Swan-ganz catheter

  28. 14

  29. #14 What is the interval change? • Removal of left ventricular assist device • Removal of right chest tube • Removal of left chest tube • Removal of Swan-Ganz catheter • No change

  30. 15

  31. #15 What is the interval change? • Removal of pacemaker wire • New soft tissue swelling near right shoulder • New right pneumothorax • New left pneumothorax • No change

  32. 16

  33. #16 What is the next step? • Call the nurse about low endotracheal tube • Call the nurse about a malpositioned right chest tube • Recommend STAT chest CT for lower lobe mass • Nothing needs to be done. Move on to the next case

  34. What is the most appropriate next step? • Dictate as no acute cardiopulmonary disease. Move on to the next case • Call nurse about possible thoracic aortic aneurysm • Call nurse about left pneumothorax • Call nurse about pneumoperitoneum

  35. 17

  36. #17 What is the interval change? • Resolution of CHF • New Swan-ganz catheter and aortic balloon pump in the correct position • New left pleural pigtail catheter • New Swan-ganz catheter and aortic balloon pump in the incorrect position

  37. 18

  38. #18 What is the interval change? • Resolurion of CHF pattern • New Swan-ganz catheter • New L pleural catheter • New Swan-ganz catheter and aortic baloon in the correct position • No change

  39. 19

  40. #19 What is the interval change? • New Swan-ganz catheter correctly positioned • Placement of additional pacer wire • New OG tube • New Swan-gans incorrectly positioned • No change

  41. 20

  42. #21 What is the interval change • Placement of Dobhoff feeding tube • New Swan-ganz catheter incorrectly positioned • New Swan-ganz catheter correctly positioned • New LLL atelectasis • No change

  43. 22

  44. #22 What is the interval change? • Insertion of OG tube • Removal of ET tube • New R PICC • Free air under diaphragm • No change

  45. 23

  46. #23 What is the interval change? • New right sided pneumothorax • Complete left lower lobe atelectasis • Complete left upper lobe atelectasis • New orogastric tube • No change

  47. 24

  48. #24 What is the interval change? • New RLL atelectasis • New left pleural effusion • New right pleural effusion • New pacemaker wire • No change

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