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3. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you’re looking for
Know the limits of your test
www.indiandentalacademy.com
4. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you are looking for
Know the limits of your test
www.indiandentalacademy.com
5. One View is No View
Posterior sulcus nodule = Cancer
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6. One View is No View
RML collapse
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7. One View is No View
Pectus excavatum, not
pneumonia
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9. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you’re looking for
Know the limits of your test
www.indiandentalacademy.com
10. Patterns are Your Clue
PCP Pneumonia
CHF
Interstitial Lung Disease - Acute
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11. Patterns are Your Clue
Pneumonia
Alveolar edema
Air Space Consolidation
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15. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you’re looking for
Know the limits of your test
www.indiandentalacademy.com
16. Be Sure You are Looking
RT
Kartegener’s Syndrome
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17. Be Sure You are Looking
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18. Be Sure You are Looking
“Rule out pneumonia”
Marked free
intraperitoneal air
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20. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you’re looking for
Know the limits of your test
www.indiandentalacademy.com
21. Know What You’re Looking
For
PNEUMOTHORAX
Skin fold – no intervention
Gray edge with peripheral
markings
Failed line placement, SOB:
Thin line without peripheral lung
markings
www.indiandentalacademy.com = pneumothorax
22. Know What You’re Looking
For
Pneumothorax + mediastinal
shift
=
Tension Pneumothorax
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23. Know What You’re Looking
For
PNEUMOMEDIASTINUM
Air paralleling trachea,
bronchi, left heart border
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24. Know What You’re Looking
For
1. Trauma Board
2. Wide mediastinum
3. NG deviation
4. Tracheal deviation
5. Left apical cap
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25. Know What You’re Looking
For
Aortic Transection X 2
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26. Know What You’re Looking
For
65 year old with Pulmonary
Arterial Hypertension
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35 year old with Lymphoma
27. Know What You’re Looking
For
PNEUMOPERITONEU
M
Upright –
Nondependent point
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28. Know What You’re Looking
For
PNEUMOPERITONEU
M
Supine – Double Bowel Wall Sign
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Outlining of liver/GB
29. Know What You’re Looking
For
35 year old with recurrent
abdominal pain:
Extensive pancreatic
calcification = recurrent
pancreatitis
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30. Know What You’re Looking
For
35 year old with bloody
diarrhea
Thumb-printing transverse
colon = Colitis
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31. Know What You’re Looking
For
Bowel dilatation acidosis
60 year old with
and no bowel sounds,
Pneumatosis
suspect dead bowel
Portal venous gas
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33. Basic Concepts
One view is no view – use it all!
Patterns are your clue
Be sure you are looking
Know what you’re looking for
Know the limits of your test
www.indiandentalacademy.com
34. Know the Limits of Your Test
•
•
•
Screening tests come first
Secondary tests come second
Basic decision trees work for most, but
not all, patients
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35. Know the Limits of Your Test
35 year old on BCP with acute Shortness of breath
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36. Know the Limits of Your Test
40 year old with confusion after skull fracture
Subdural hematoma
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37. Know the Limits of Your Test
80 year old fell in bath tub this AM,
unable to bear weight = Femoral
neck fracture
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