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BS.CKI TRNH TRUNG TIN B MN SKILLSLAB BNH VIN NHN DN 115


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Y KHOA NM 2


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Bng hi d dyXng b vai tch ra khi ph trngBng tim khng b b ra qu mc



14 BC C PHIM

1

Lun kim tra thng tin ngi bnhtrn phim XQ:

-Tn

- Tui- Gii tnh



14 BC C PHIM

2

Lun kim tra ngy chp trn phimXQ v so snh vi cc phim c



14 BC C PHIM

3

Lun kim tra xem kiu chp phiml g? APPA, thng nghing,



14 BC C PHIM

4

Lun kim tra cc du hiu nhmxc nh bn T hoc P nh



14 BC C PHIM

5

Lun kim cht lng phim chptrc khi c phim-Tia

- Xoay

- Mc ht



14 BC C PHIM

6

c ng th (Ariway)



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

7

c xng (Bone)


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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

8

c bng tim (Cardiac silhouette)


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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

9

c c honh (Diaphragms)


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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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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

11

c ph trng (Fields of the lungs)


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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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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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