xq nguc co ban
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
Y KHOA NM 2
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
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Bng hi d dyXng b vai tch ra khi ph trngBng tim khng b b ra qu mc
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14 BC C PHIM
1
Lun kim tra thng tin ngi bnhtrn phim XQ:
-Tn
- Tui- Gii tnh
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14 BC C PHIM
2
Lun kim tra ngy chp trn phimXQ v so snh vi cc phim c
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14 BC C PHIM
3
Lun kim tra xem kiu chp phiml g? APPA, thng nghing,
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14 BC C PHIM
4
Lun kim tra cc du hiu nhmxc nh bn T hoc P nh
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14 BC C PHIM
5
Lun kim cht lng phim chptrc khi c phim-Tia
- Xoay
- Mc ht
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14 BC C PHIM
6
c ng th (Ariway)
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A - Airway
Chc chn thy c kh qun v phi nm ng gia
Kh qun y lch trong: trn dch mng phi, trn kh mng phi p lcKh qun b ko lch trong xp phi
Gc carina khong 60 100
Gc ny s tng trong: ln nh (T), ph i hch trung tht, xp th trn phi (T)
Kh qun 2 bn i vo rn phi cch carina khong 3-4cm
Kim tra rng trung tht thng do khi u trung tht gy ra nh ph i hch trung tht,u tuyn c, bu gip thng trung tht
Kim tra c trn kh trung tht
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14 BC C PHIM
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c xng (Bone)
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
BBones
Check for fractures, dislocation, subluxation, osteoblastic or osteolytic lesions in clavicles,
ribs, thoracic
Spine and humerus including osteoarthritic changes
At this time also check the soft tissues for subcutaneous air, foreign bodies and surgical clips
Caution with nipple shadows, which may mimic intrapulmonary nodules
compare side to side, if on both sides the nodules in question are in the sameposition, then they are likely to be due to nipple shadows
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14 BC C PHIM
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c bng tim (Cardiac silhouette)
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
C - Cardiac silhouette
Kim tra kch thc tim v bng timR nt hay mNu vin theo bng tim c lp kh mngtrn kh trung tht
Kim tra cung ng mch ch ngcDn rng, calci,
Kim tra vale tim (calci, van tim nhn to)
Check SVC, IVC, azygos vein
Widening, tortuosity
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NG KNH TIMLN NHT
NG KNH LNG NGCLN NHT
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14 BC C PHIM
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c c honh (Diaphragms)
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
DDiaphragm
Right hemidiaphragm
Should be higher than the left
If much higher, think of effusion, lobar collapse, diaphragmatic paralysis
If you cannot see parts of the diaphragm, consider infiltrate or effusion
If film is taken in erect or upright position you may see free air under the diaphragm if intra-
abdominal perforation is present
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14 BC C PHIM
10
c vin tim v cc m mm xungquanh
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
Silhouette sign:
nhngha: Mt bng m trong lng ngc c m dch, tip xc v mt gii
phu vi b ca cc cu trc c m dch trong lng ngc (tim,ng mchch,vmhonh) sxa b tipxc vinhau.Ngc li,nukhng tipxc vmt
giiphuth bcacc cutrc vnhinr trn phim cho d c chng lp ln
nhau.
+ Khi c hintngxa bta gil Silhouette sign (+).+ Khi khng xa bta gil Silhouette sign (-).
yl duhiucbnv quan trngnhttrong X quang lngngcqui c
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Silhouette sign (+)
Silhouette sign (-)
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14 BC C PHIM
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c ph trng (Fields of the lungs)
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
Effusions
Look for blunting of the costophrenic angle
Identify the major fissures, if you can see them more obvious than usual, then this
could mean that fluid is tracking along the fissure
Check out the pleura
Thickening, loculations, calcifications and pneumothorax
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Check for infiltrates
Identify the location of infiltrates by use of known radiological phenomena, eg loss of
heart borders or of the contour of the diaphragm
Remember that right middle lobe abuts the heart, but the right lower lobe does not
The lingula abuts the left side of the heart
Identify the pattern of infiltration
Interstitial pattern (reticular) versus alveolar (patchy or nodular) pattern
Lobar collapse
Look for air bronchograms, tram tracking, nodules, Kerley B lines
Pay attention to the apices
Check for granulomas, tumour and pneumothorax
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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115
Du hiu ca ph m k, do s sm nhp ca dch. L nhng ng k trng song song ngoi vi, khng di qu 1cm,
tip gip mng phi.
Gp trong suy tim sung huyt, bnh phi k
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14 BC C PHIM
12
c bng hi d dy (Gastricbubble)
ng v tr khng, c thot v chonh
C kh t do di honh (T) hoc (P)khng
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14 BC C PHIM
13
c rn phi (Hilum)
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HHilum
Check the position and size bilaterally
Enlarged lymph nodes
Calcified nodules
Mass lesions
Pulmonary arteries, if greater than 1.5cm think about possible causes of enlargement
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14 BC C PHIM
14
c cc d vt bt thng (Hilum)
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