Interpreting Chest X Ray - A High Yield Study Guide for Family Nurse Practitioners by FNP Review
Author:FNP Review [Review, FNP]
Language: eng
Format: azw3
Published: 2017-03-20T16:00:00+00:00
Pace pad-on
CXR – a lot of fluid, intubated
DIFFUSELY INTERSTITIAL MARKING, THICKENED inter-lobar fissure, Kerley-B lines
Cephalization of vessels
Only valid on upright film
Thickened inter-lobar fissure
Peri-hilar crowding
45 yo male smoker, with sharp pleuritic chest and back pain
Pleural reflection (you see a line that does not belong to a rib.)
This is PNEUMOTHORAX
TIPS SUSPECT PNEUMOTHORAX - Can take Inspiratory view BUT ALSO Expiratory view (condense lung tissue down making it easier to see the pneumothorax.)
ANOTHER TRICK IS – INVERT THE IMAGE - HOT LIGHT OR SPOT LAMP on the desk. Take the hot light, take a look all around the periphery. Highlights lines, highlights pulmonary vasculature, helps detect suddle pneumothoracis.
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