Scenerio CXR

[ChrisPAinED]

This is my chest x-ray. I have a history of asthma and had a asthma exacerbation not to long ago. I took a photo of my x-ray and blurred my full name and accidentally had flash on. I have already been diagnosed and treated so I am just showing image for PA students. Anyone can comment the signs of asthma on the X ray but pa students first or if no pa students got a guess a pa can put it in. 

[EMEDPA]

I am not going to answer your question, but advise students to think about CXRs in terms of ABCDEF:

airway( deviation? FB?)

bones (fractures, tumors, dislocations, etc)

cardiac/mediastinum (heart size, dilated pulmonary vasculature, etc)

diaphragms (free air, etc) 

extraneous/everything not present at birth(pacemakers, hardware, tubes, Lines, gown snaps, etc)

Fields (Pneumothorax, infiltrate, effusion, atelectasis, etc). Do this last or you miss embarrassing ABCDE things like this:

       PA read: Normal chest.

       Radiology read: Normal lungs, L scapular fx.  

[ChrisPAinED]

On 4/7/2022 at 12:13 AM, EMEDPA said:

I am not going to answer your question, but advise students to think about CXRs in terms of ABCDEF:

airway( deviation? FB?)

bones (fractures, tumors, dislocations, etc)

cardiac/mediastinum (heart size, dilated pulmonary vasculature, etc)

diaphragms (free air, etc) 

extraneous/everything not present at birth(pacemakers, hardware, tubes, Lines, gown snaps, etc)

Fields (Pneumothorax, infiltrate, effusion, atelectasis, etc). Do this last or you miss embarrassing ABCDE things like this:

       PA read: Normal chest.

       Radiology read: Normal lungs, L scapular fx.  

Ok you can now say the findings