Chest x ray interpretation in OMF surgery

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Anushan Madushanka

Essential chest x ray interpretations in OMF surgery

Health & Medicine

Essential Chest X-ray
Interpretation in OMF Surgery
Dr. Anushan Madhushanka…BDS, MD, MFDRCSI..
Senior registrar in OMFS
North Colombo Teaching Hospital Sri lanka

Systematic approach
Film Detail
• Patient's name
• Date radiograph
• View of the film
• Quality of film

Approach
• A - Airway
• B - Bones
• C - Cardiac silhouette
• D - Diaphragms
• E - External soft tissues
• F - Fields of the lungs
• G - Gastric bubble
• H - Hila
• I - Instrumentations

HO/SHO Should be able to identify
• Pneumonia
• TB
• Hilar lymph node enlargement
• Pneumothorax
• Haemothorax
• Cardiomegaly
• Pleural effusion
• Lung metastasis
• Other

Instrumentation
• Intercostals tube insertion

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Chest x ray interpretation in OMF surgery

1. Essential Chest X-ray Interpretation in OMF Surgery Dr. Anushan Madhushanka…BDS, MD, MFDRCSI.. Senior registrar in OMFS North Colombo Teaching Hospital Sri lanka

2. Systematic approach Film Detail • Patient's name • Date radiograph • View of the film • Quality of film

3. Approach • A - Airway • B - Bones • C - Cardiac silhouette • D - Diaphragms • E - External soft tissues • F - Fields of the lungs • G - Gastric bubble • H - Hila • I - Instrumentations

4. Normal chest X-ray features PA View

5. Belong to whom? Male or Female

6. HO/SHO Should be able to identify • Pneumonia • TB • Hilar lymph node enlargement • Pneumothorax • Haemothorax • Cardiomegaly • Pleural effusion • Lung metastasis • Other

7. Pneumonia

8. Tension pneumothorax

9. Haemothorax

10. Cardiomegaly

11. Pleural effusion

12. TB

13. Lung metastasis

14. Hilar lymphadenopathy

15. What is wrong here?

16. Instrumentation • Intercostals tube insertion

17. • Where is the NG tube?