Chest x-ray review: everything else
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was changed:
Chest x-ray review is a key competency for medical students, junior doctors and other allied health professionals. Using A, B, C, D, E is a helpful and systematic method for chest x-ray review where E refers to "everything else".
Reference article
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Summary
-
introduction
- look things that
don'tdo not fit into the A-D categories and review areas- apices
- behind the heart
- below the diaphragm
- soft tissues abnormalities (e.g. absent breast shadow)
- look things that
-
procedure
- apices
- many people forget to look above the clavicles
- look again at the lung above the clavicles
- behind the heart
- altered density in the retrocardiac region can be difficult
- check for basal consolidation or a mass in this region
- fluid-level of hiatus hernia
- below the diaphragm
- diaphragmatic contour is the dome of the diaphragm
- the lungs extend posteriorly below the diaphragm
- look out for mass lesions below the diaphragm
- soft-tissue abnormalities
- gas in the soft-tissues (surgical emphysema)
- look for both breast shadows in female patients
- apices
-
checklist
- apical lung tumour
- left lower lobe collapse
- hiatus hernia
- breast shadows
-<strong>introduction</strong><ul><li>look things that don't fit into the A-D categories and review areas<ul>- +<strong>introduction</strong><ul><li>look things that do not fit into the A-D categories and review areas<ul>
-</ul><h5> </h5>- +</ul>
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