BS.

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

Y KHOA NM 2

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

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

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

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

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

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

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

Bng hi d dy Xng b vai tch ra khi ph trng Bng tim khng b b ra qu mc

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

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

14 BC C PHIM

Lun kim tra thng tin ngi bnh trn phim XQ: -Tn - Tui - Gii tnh

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

14 BC C PHIM

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

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

14 BC C PHIM

Lun kim tra xem kiu chp phim l g? AP PA, thng nghing,

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

14 BC C PHIM

Lun kim tra cc du hiu nhm xc nh bn T hoc P nh

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

14 BC C PHIM

Lun kim cht lng phim chp trc khi c phim -Tia - Xoay - Mc ht

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

14 BC C PHIM

c ng th (Ariway)

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

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 lc Kh 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

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

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

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

14 BC C PHIM

c xng (Bone)

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

B Bones 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 same position, then they are likely to be due to nipple shadows

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

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

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

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

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

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

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

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

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

14 BC C PHIM

c bng tim (Cardiac silhouette)

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

C - Cardiac silhouette Kim tra kch thc tim v bng tim R nt hay m Nu vin theo bng tim c lp kh mng trn kh trung tht Kim tra cung ng mch ch ngc Dn rng, calci,

Kim tra vale tim (calci, van tim nhn to)

Check SVC, IVC, azygos vein Widening, tortuosity

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

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

NG KNH TIM LN NHT

NG KNH LNG NGC LN NHT

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

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

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

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

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

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

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

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

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

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

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

14 BC C PHIM

c c honh (Diaphragms)

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

D Diaphragm

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 intraabdominal perforation is present

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

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

14 BC C PHIM

c vin tim v cc m mm xung quanh

10

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

Silhouette sign:
nh ngha: 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 mch ch,vm honh) s xa b tip xc vi nhau.Ngc li,nu khng tip xc v mt gii phu th b ca cc cu trc vn hin r trn phim cho d c chng lp ln nhau.
+ Khi c hin tng xa b ta gi l Silhouette sign (+). + Khi khng xa b ta gi l Silhouette sign (-).

y l du hiu c bn v quan trng nht trong X quang lng ngc qui c

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

Silhouette sign (+)

Silhouette sign (-)

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

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

14 BC C PHIM

c ph trng (Fields of the lungs)

11

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

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

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

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

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

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

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

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

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

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

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

14 BC C PHIM

c bng hi d dy (Gastric bubble) ng v tr khng, c thot v c honh

C kh t do di honh (T) hoc (P) khng

12

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

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

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

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

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

14 BC C PHIM

c rn phi (Hilum)

13

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

H Hilum

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

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

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

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

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

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

14 BC C PHIM

c cc d vt bt thng (Hilum)

14

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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