2011年8月27日星期六

How apt watch chest

On chest xray reading (chiefly ray films) would like to share with you a little experience. To peruse a nice normal breast X-ray chest 1st object to know is how, in common you can use the emulating txt description of every one and see the membrane can likewise view this mandate at Zhao, in mandate to develop good habits. Number of ribs namely to see films based ashore the emulating to say I have a lot of things are based aboard the ribs as a sign. Normal chest under the ribs from the back ahead above the number of the first rib and clavicle circled by a round-the translucent zone, this part is the apex region where both sides of the apex likened to facilitate the revelation of lesions. 2 How to resolve whether the natural markings? We kas long asside of the lung field from the hilar to the marginal lung is divided into 3 equal parts are shrieked among the lungs, middle and outer, under normal circumstances, with markings in the lungs, take-no, take-out there if there are markings markings of the mushroom, whereas one increase in the sunshine with the markings via the abatement. With difference on the lungs and a alien meaning, namely is, compression of pulmonary emphysema to determine, in general, and alien lungs with lung volume, respectively, accounted as 60%, 30%, 10%. 3. Mediastinal and hilar: hilar to 4 intercostal space in front of the second level later level of four to six thoracic spinous process elevation in the midline with the elbow blade later the midpoint of the mid corner of the perpendicular line. What's the point? For example: when the fiber cavitary tuberculosis, the About determine whether there is mediastinal shift especially. 4. Heart: center after five to eight thoracic vertebrae, ahead the 2 to six ribs. (Fill cardiothoracic ratio.) When we peruse the piece constantly listen is a concept phoned Where? Aortic arc from the right to the left is a prominent area by the left sternal siteline, it is the second level of the left chest rib cartilage. Here I would like to say namely it is the place of pulmonary aisle section, pulmonary aisle segment in the aorta formed party, the magistrate makes sense to pulmonary hypertension. 5. Diaphragm and costophrenic angle: the right costal diaphragm is generally the front in the fifth rib to the sixth rib before the inter-level, for the subsistence of the right side of the liver, right diaphragm is ordinarily higher than the left an to two centimeters. Meaning: the chest or abdominal cavity pressure alterations can revise the situation of the diaphragm when the diaphragm location, such as pneumothorax can be lowered; phrenic nerve disability contradictory inhalation. Normal costophrenic angle is keen, if the costophrenic angle dulling there is a pleural effusion alternatively blood in there, then how do we generally determine the sum of liquid it? Generally costophrenic angle blunting: liquid 300ml; costophrenic angle-closure: 500ml. 6. Nipple position is that we often encounter a problem, male nipple between the former general in the fifth rib, woman nipple position can be lower, asymmetry of the nipple shadow misdiagnosed as a nodule lesions. 7. How to determine the lesion from the lungs or from the pleural cavity? Generally speaking, whether a great many lesions are lesions in the lungs from the lungs; can be combined to determine the lateral view, while CT can accurately identify. 8 What is the apex kneel? What is the apex down? What is the significance? The maximum center shadow over the outer edge of the diaphragm plane, said apex upturned,udaily, on behalf of right ventricular hypertrophy; the additional hand the most heart eclipse underneath the diaphragm, said outer edge of the apex down,0320.org, on benefit of left ventricular hypertrophy. I want surgery on the lateral outlook of the preceptor educate me to instruct you a little trick: the smaller triangle is the heart ahead a great right ventricle; great triangle is the left ventricle after heart big.




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