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Radiology – The Basics
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
Radiology





Four year residency
Fellowships common
Basic element of medical care
Frequently the test that results in
patient admission/diagnosis

www.indiandentalacademy.com
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
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
One View is No View
Posterior sulcus nodule = Cancer

www.indiandentalacademy.com
One View is No View
RML collapse

www.indiandentalacademy.com
One View is No View

Pectus excavatum, not
pneumonia

www.indiandentalacademy.com
www.indiandentalacademy.com
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
Patterns are Your Clue
PCP Pneumonia

CHF

Interstitial Lung Disease - Acute
www.indiandentalacademy.com
Patterns are Your Clue
Pneumonia

Alveolar edema

Air Space Consolidation
www.indiandentalacademy.com
Patterns are Your Clue

www.indiandentalacademy.com
Patterns are Your Clue
SB > 3cm
Continuous valvulae
Paucity colonic gas
Multiple non-colonic A/F levels

www.indiandentalacademy.com
www.indiandentalacademy.com
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
Be Sure You are Looking

RT

Kartegener’s Syndrome

www.indiandentalacademy.com
Be Sure You are Looking

www.indiandentalacademy.com
Be Sure You are Looking
“Rule out pneumonia”

Marked free
intraperitoneal air

www.indiandentalacademy.com
www.indiandentalacademy.com
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
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
Know What You’re Looking
For
Pneumothorax + mediastinal
shift
=
Tension Pneumothorax

www.indiandentalacademy.com
Know What You’re Looking
For
PNEUMOMEDIASTINUM
Air paralleling trachea,
bronchi, left heart border

www.indiandentalacademy.com
Know What You’re Looking
For
1. Trauma Board
2. Wide mediastinum
3. NG deviation
4. Tracheal deviation
5. Left apical cap

www.indiandentalacademy.com
Know What You’re Looking
For
Aortic Transection X 2

www.indiandentalacademy.com
Know What You’re Looking
For

65 year old with Pulmonary
Arterial Hypertension
www.indiandentalacademy.com

35 year old with Lymphoma
Know What You’re Looking
For
PNEUMOPERITONEU
M

Upright –
Nondependent point
www.indiandentalacademy.com
Know What You’re Looking
For
PNEUMOPERITONEU
M

Supine – Double Bowel Wall Sign
www.indiandentalacademy.com

Outlining of liver/GB
Know What You’re Looking
For
35 year old with recurrent
abdominal pain:
Extensive pancreatic
calcification = recurrent
pancreatitis

www.indiandentalacademy.com
Know What You’re Looking
For
35 year old with bloody
diarrhea
Thumb-printing transverse
colon = Colitis

www.indiandentalacademy.com
Know What You’re Looking
For

Bowel dilatation acidosis
60 year old with
and no bowel sounds,
Pneumatosis
suspect dead bowel
Portal venous gas

www.indiandentalacademy.com
June 3, 1965
www.indiandentalacademy.com
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
Know the Limits of Your Test
•
•
•

Screening tests come first
Secondary tests come second
Basic decision trees work for most, but
not all, patients

www.indiandentalacademy.com
Know the Limits of Your Test
35 year old on BCP with acute Shortness of breath

www.indiandentalacademy.com
Know the Limits of Your Test
40 year old with confusion after skull fracture

Subdural hematoma
www.indiandentalacademy.com
Know the Limits of Your Test

80 year old fell in bath tub this AM,
unable to bear weight = Femoral
neck fracture
www.indiandentalacademy.com
Know the Limits of Your Test

www.indiandentalacademy.com
Take time to consider your
test first, and review the
results after
You’ll be the star of your team!

www.indiandentalacademy.com
Dust and gas in the constellation of Sagittarius
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com

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Basics /certified fixed orthodontic courses by Indian dental academy

  • 1. Radiology – The Basics INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. Radiology     Four year residency Fellowships common Basic element of medical care Frequently the test that results in patient admission/diagnosis www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 6. One View is No View RML collapse www.indiandentalacademy.com
  • 7. One View is No View Pectus excavatum, not pneumonia www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 11. Patterns are Your Clue Pneumonia Alveolar edema Air Space Consolidation www.indiandentalacademy.com
  • 12. Patterns are Your Clue www.indiandentalacademy.com
  • 13. Patterns are Your Clue SB > 3cm Continuous valvulae Paucity colonic gas Multiple non-colonic A/F levels www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 17. Be Sure You are Looking www.indiandentalacademy.com
  • 18. Be Sure You are Looking “Rule out pneumonia” Marked free intraperitoneal air www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 23. Know What You’re Looking For PNEUMOMEDIASTINUM Air paralleling trachea, bronchi, left heart border www.indiandentalacademy.com
  • 24. Know What You’re Looking For 1. Trauma Board 2. Wide mediastinum 3. NG deviation 4. Tracheal deviation 5. Left apical cap www.indiandentalacademy.com
  • 25. Know What You’re Looking For Aortic Transection X 2 www.indiandentalacademy.com
  • 26. Know What You’re Looking For 65 year old with Pulmonary Arterial Hypertension www.indiandentalacademy.com 35 year old with Lymphoma
  • 27. Know What You’re Looking For PNEUMOPERITONEU M Upright – Nondependent point www.indiandentalacademy.com
  • 28. Know What You’re Looking For PNEUMOPERITONEU M Supine – Double Bowel Wall Sign www.indiandentalacademy.com Outlining of liver/GB
  • 29. Know What You’re Looking For 35 year old with recurrent abdominal pain: Extensive pancreatic calcification = recurrent pancreatitis www.indiandentalacademy.com
  • 30. Know What You’re Looking For 35 year old with bloody diarrhea Thumb-printing transverse colon = Colitis www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 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 www.indiandentalacademy.com
  • 35. Know the Limits of Your Test 35 year old on BCP with acute Shortness of breath www.indiandentalacademy.com
  • 36. Know the Limits of Your Test 40 year old with confusion after skull fracture Subdural hematoma www.indiandentalacademy.com
  • 37. Know the Limits of Your Test 80 year old fell in bath tub this AM, unable to bear weight = Femoral neck fracture www.indiandentalacademy.com
  • 38. Know the Limits of Your Test www.indiandentalacademy.com
  • 39. Take time to consider your test first, and review the results after You’ll be the star of your team! www.indiandentalacademy.com
  • 40. Dust and gas in the constellation of Sagittarius www.indiandentalacademy.com
  • 41. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com