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Published byAldous Baldwin Modified over 8 years ago
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Chapter 10 Bony Thorax
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1 ____________ 12 ______________ 12 ____________
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Bony Thorax Protects: –_________ organs __________ during breathing
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Sternum 3 parts –_____________ Superior portion 2” long –________ (Gladiolus) Longest portion 4” long –_____________ Smallest most distal.
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Sternal Landmarks ____________(suprasternal or manubrial) –Correlates to T2-3 _________________ –Correlates to T4-5 Xiphoid tip –Correlates to _________
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Sternal Articulations Clavicle – _________________ joint 7 ribs – Through ______________ 1 st rib costocartilage on manubrium
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Ribs 12 pairs ___________ –Costocartilage connection anteriorly to the sternum __________ –8,9,&10 costocartilage attach to the 7 th –_________(11 &12) – No costocartilage articulation
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Rib Anatomy Posterior Vertebral end –___________ Vertebral body –________ –Transverse process
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Rib Anatomy Anterior Sternal end –_______ –Shaft _______________ –Artery, vein, and nerve
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Rib Articulations Anterior ________________ Union –Rib and costocartilage Synarthrodial ___________________ – Sternum and clavicle Diarthrodial
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Rib Articulation Anterior ________________ – Costocartilage to sternum. _____________ 2-7 diarthrodial ______________ –Costocartilage of 6 th – 10 th Diarthrodial
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Rib Articulation Posterior _________________ –Head of rib to vertebral body Diarthrodial _________________ –Rib ______ to transverse process 1 - 10 Diarthrodial
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Sternum Imaging Routine RAO Lateral 40” SID** RAO 60-72” SID Lateral 60 – 70 kVp
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RAO Sternum Moves sternum _______________ –Uses ___________ to provide density _____________ Oblique –Body habitus dependent Breathing technique –Blurs pulmonary markings
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RAO Sternum CR to mid sternum –Palpate for ____________and xiphoid –Center to mid sternum Collimate about ___________
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Lateral Sternum Increase ________for increased ______ _________ - Arms back _____________ –Arms above head
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Lateral Sternum CR to mid sternum –Place IR ____________jugular notch Suspend respiration –___________
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Rib Imaging Routine PA Chest AP above diaphragm60kV AP below diaphragm70kV RPO/LPO above diaphragm60kV 40-72” SID (Unilateral or Bilateral)
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AP Above Diaphragm Center to ______________ CR to _________ IR _________shoulder center to cassette Suspend respiration on _____________
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AP Below Diaphragm Center to affected side CR mid way between _______ and _________ Suspend respiration on ___________ –Move diaphragm up and away
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RPO / LPO Above Diaphragm __________ Oblique CR between spine a ________ rib margins IR _________shoulder and center to IR Suspend respiration on ___________
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Helpful Tip Mark the _____________ Place a ____________on area of interest.
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