Please answer the following questions in relation to this 22 year old male who presentswith one day of shortness of breath.
Position
•
Are the apices of the lungs seen superior to the clavicles?
Rotation
•
Are the clavicles at equal height?
Airway
•
Is the carinal angle less than 100 degrees?
Breathing
•
•
•
•
Is there significant asymmetry?
o If so, please detail where the asymmetry occurs (1 point).
Are the lateral edges sharp and well-defined?
Are the costocardiac and costophrenic edges sharp and well-defined?
Are the inner edges sharp and well-defined?
Circulation
•
•
•
•
•
Is the mediastinum at the aortic arch less than 8 cm?
Are the pulmonary arteries smooth and symmetrical?
Are the pulmonary arteries enlarged?
Is there hilar lymphadenopathy?
Is the cardiothoracic ratio less than 50%?
Diaphragm
•
•
•
Is the diaphragm appropriately curved?
Is there gas beneath the hemidiaphragm?
Is there any retrosternal enlargement greater than 2.5 cm?
Other abnormalities
•
Do you see any clavicular fractures, rib fractures, foreign bodies or
consolidation?
What is your diagnosis?
Part 2
Please answer the following questions in relation to this elderly adult patient with seven
days of constipation (each question worth 1/3 point unless indicated otherwise).
Is there air distal to the hemidiaphragm?
Are there significant air bubbles in the intestine?
Is there an enlarged intestine?
If so, do the valvular markings extend from one wall of the intestine to the other wall?
Are there any external objects?
What is your diagnosis (1 point)?
https://www.stepwards.com/?page_id=4353
https://www.ebmconsult.com/articles/radiology-chest-xray-normal
https://undergradimaging.pressbooks.com/chapter/chest/
Initial Evaluation
◦ View
◦ Inspiration
◦ Penetration
◦ Position
◦ Rotation
https://www.qmenta.com/covid-19-kaggle-chest-x-ray-normal/
https://radiopaedia.org/articles/chest-ap-erect-view-1
Evaluation – Airway
https://www.ezmedlearning.com/blog/chest-xrays
https://www.qmenta.com/covid-19-kaggle-chest-x-ray-normal/
Evaluation – Breathing
https://www.qmenta.com/covid-19-kaggle-chest-x-ray-normal/
Evaluation –Circulation, Cardiac
60
Calcium
8.9
8.2-10.2
mg/dL
Total Protein
8.0
6.4-8.2
g/dL
Albumin
4.3
3.2-4.7
g/dL
Bilirubin
1.1
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