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Rad Tech 270

Rad Tech 270. Bony Thorax Ribs & Sternum. Rib Series. AP or PA depending on the location of the patient’s pain Inspiration above diaphragm Expiration below diaphragm On initial presentation for trauma you will include a chest film. Ribs Cont.

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Rad Tech 270

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  1. Rad Tech 270 Bony Thorax Ribs &Sternum

  2. Rib Series • AP or PA depending on the location of the patient’s pain • Inspiration above diaphragm • Expiration below diaphragm • On initial presentation for trauma you will include a chest film

  3. Ribs Cont. • Generally, rib obliques are going to be unilateral • An AO or PO oblique again depending of location of pain • Anterior pain, opposite AO oblique • Posterior pain, affected PO oblique

  4. LAO For Rt anterior ribs RPO For Rt posterior ribs

  5. We are looking from the feet

  6. Again we are looking from the feet

  7. LAO For Rt anterior ribs

  8. LPO For left posterior ribs

  9. Which oblique do I do? • The Rule is that the spinous process of the thoracic vertebra is always pointing away from the ribs of interest.

  10. Pediatric rib fracture

  11. Flail chest At least 2 fractures In 2 ribs

  12. Hemothorax

  13. Tension pneumothorax

  14. CT tension pneumothorax

  15. Bony mets

  16. Sternum Series • RAO • Breathing technique to minimize rib shadows • 30 inch SID is also recommended to help blur the posterior ribs • Lateral

  17. This method requires that the patient lean over the table. From a practical stand point it doesn’t work very well.

  18. Multiple myeloma

  19. Infected SC joint

  20. Metastatic breast cancer

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