P2NB X-Ray Positioning

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Author:
dcmommy13
ID:
231986
Filename:
P2NB X-Ray Positioning
Updated:
2013-08-30 12:58:30
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NBCE
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  1. LATERAL SKULL
    Sella Turcica
  2. P-A CALDWELL PROJECTION
    Frontal Sinus
    Tube tilt: 15* caudad.
  3. A-P TOWNE'S
    Foramen Magnum
    Tube tilt: 35* caudad.
  4. WA(L)TER'S
    Maxillary Sinuses.
  5. NLC
    FFD: 72".
  6. APLC
    Tube tilt: 15* cephalic.
  7. APOM
    Best for Jefferson Burst FX (dens & atlas). 
  8. CERV OBLIQUE
    IVF's.
    • FFD: 72".
    • Tube tilt:
    • -15* caudad (anterior)
    • -15* cepHalad (Posterior). 
    • Head rotation: parallel with the bucky.
  9. CERVICAL FLEXION
    ADI space for transverse lig stability
    -Transverse lig: holds the dens. 
    • FFD: 72".
    • Evaluate standard views for fractures before taking this film.
  10. CERVICAL EXTENSION
    • FFD: 72"
    • Evaluate standard views for fractures before taking this film.
  11. ARTICULAR PILLAR VIEW
    Uncinate processes (articular processes & apophyseal joints).
    Tube tilt: 25* cephalad.
  12. A-P THORACIC
  13. LAT THORACIC
  14. SWIMMER'S VIEW
    CT-Junction.
    • Tube tilt: 5* caudal.
    • PP: standing lateral with arm closest to bucky raised overhead, other arm at the patient's side.
  15. P-A CHEST
    Deep breath in & hold.
    FFD: 72".
  16. LAT CHEST
    Deep breath in & hold.
    FFD72".
  17. APICAL LORDOTIC
    Pancost tumor
    Deep breath in & hold.
    FFD72".
  18. CHEST FILMS FFD & BREATHING INSTRUCTIONS?
    • 72".
    • Deep breath in & hold.
  19. A-P LUMBAR
    • CR: 1" below top/iliac crests.
    • Deep breath in & let it all out.
  20. LAT LUMBAR
    IVF's
    • CR: Top of the iliac crest @ the mid-ax line.
    • Breath in & let it all out.
  21. L5/S1 SPOT SHOT
    (FERGUSON'S PROJECTION)
    (SACRAL BASE TILT)
    • Patient supine.
    • TT: 25* cephalad.
    • CR: @ ASIS.
    • Don't breathe, done move.
  22. LUMBAR OBLIQUE
    Pars.
  23. LATERAL L5/S1 SPOT SHOT
    CR: inf to the iliac crest & 1" post to mid ax line.
  24. A-P SACRUM
    • TT: 15* cephalic
    • CR: 2" sup to the pubic symph.
  25. LAT SACRUM
    • PP: lat recumbent. 
    • CR: level w/ ASIS, 3" post to mix ax line.
  26. A-P COCCYX
    • TT10* caudal
    • CR: 2" sup to pubic symph.
  27. LAT COCCYX
    NO tube tilt.
  28. A-P ANGULATED SI-JOINT
    • TT30* cephalic
    • CR: Midline, 1" below ASIS.
  29. AC JOINTS (with & without weights)
    TT5* cephalad (for patient standing A-P). Take bilateral views for comparison.
  30. A-P SHOULDER W/ EXT ROT
    Greater tuberosity.
  31. A-P SHOULDER W/ INT ROT
    Lesser tuberosity.
  32. AXIAL CLAVICLE
    TT15* caudal.
  33. A-P ELBOW
    PPSeated at the end of the table w/ shoulder, elbow & wrist against the table w/ hand supinated.
  34. MEDIAL (INTERNAL) OBLIQUE ELBOW
    PPSeated @ the end of the table w/ shoulder, elbow & wrist against the table w/ hand pronated.
  35. LATERAL ELBOW
    PPSeated @ the end of the table w/ elbow flexed to 90*... shoulder, elbow & wrist against the table, hand pronated.
  36. P-A WRIST
    PPSeated at the end of the table w/ elbow & wrist against table w/ hand pronated & fingers curled.
  37. MEDIAL OBLIQUE WRIST
    PPSeated @ the end of the table; elbow & wrist against the table, wrist in 0* flexion & metacarpals stacked.
  38. LAT WRIST
    PPSeated at the end of table w/ elbow & wrist against table, wrist in 0* flexion & metacarpals stacked.
  39. P-A ULNAR DEVIATION
    Scaphoid & lunate.
    PP: seated @ the end of the table w/ elbow & wrist against the table, hand pronated, fingers in a fist, wrist maximally ulnar deviated.
  40. P-A HAND
    Hand articulations.
    PP: Seated @ end of table w/ palm flat against the table & fingers spread.
  41. MED OBLIQUE HAND
    PP: Seated @ the end of table w/ hand oblique 45*.
  42. LAT HAND
    PP: Seated @ the end of table w/ metacarpals stacked & ulnar aspect of hand against cassette w/ fingers maximally spread.
  43. A-P PELVIS
    • PP: Supine/standing w/ feet turned in 15*.
    • CR: 2" above iliac crest.
  44. FROG LEG (LAT HIP)
    PP: Supine w/ leg of interest in figure 4 position.
  45. A-P KNEE
    • TT5* cephalic
    • CR: 1/2" inf to patellar apex.
    • PP: Supine/sitting w/ knee of interest extended w/ foot turned inward 5*.
  46. LAT KNEE
    • TT5* cephalic
    • PP: Lat recumbent w/ knee of interest closest to table & flexed 30-45* w/ opposite leg out of the way.
  47. TUNNEL PROJECTION
    Intercondylar Fossa (ridges).
    • TT: 45* caudal.
    • PP: Prone w/ knee flexed to 45*.
    • *Osteochondritis dessicans.
  48. TANGENTIAL (SUNRISE) PATELLA 
    Patella & patellofemoral joint space.
    PP: Prone w/ the knee maximally flexed.
  49. A-P ANKLE
    Distal tibia & fibula.
    Ankle joint.
    Talus. 
    PP: Supine/sitting on table, leg extended, ankle 90* dorsiflexion, foot turned in 20-30*.
  50. MED OBLIQUE ANKLE
    PP: Supine/sitting on table, leg extended; ankle 90* dorsiflexion, foot turned in 20-30*
  51. LAT ANKLE
    PP: Lat recumbent w/ lat aspect of ankle closest to table & ankle in 90* dorsiflexion w/ opposite leg out of the way.
  52. A-P DORSOPLANTAR FOOT
    Tarsals distal to talus.
    Metatarsals. 
    Phalanges. 
    • TT: 10* cephalic.
    • PP: Sitting on the table w/ plantar surface of foot flat against the cassette.
  53. MED OBLIQUE FOOT
    PP: Sitting on table w/ plantar surface of foot flat against the cassette; foot med obliquely rotated 30*.
  54. LAT FOOT
    PP: Lat recumbent or sitting, lat aspect of foot against the cassette; ankle is dorsiflexed to 90* w/ opposite leg out of the way.
  55. KUB
    Abdomen shot.
    No tube tilt.
  56. What affect does expiration have on the ribs?
    Lowers.
  57. The lateral decubitus shot is used for what pathology?
    Pleural effusion.
  58. The ischial spines are level with....
    The greater trochanter.

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