Recommended
More Related Content
What's hot
What's hot (20)
Similar to final year X rays viva.pptx
Similar to final year X rays viva.pptx (20)
Recently uploaded
Recently uploaded (20)
final year X rays viva.pptx
- 1. X RAYS VIVA FINAL YEAR PART 2 DEPARTMENT OF PEDIATRICS GMKMC, SALEM
- 2. TYPES OF VIEW • Antero posterior view ( AP) • Neonates • Younger children who are unable to stand independently (usually <3 years of age) • Sick children • Posterio anterior view (PA) • Older children • Preferred
- 4. PENETRATION Exposure(penetration) – normal / underexposed / over exposed • compare the cardiac shadow and the underlying vertebrae • Equally seen- normal • Vertebrae not seen- underexposed • Vertebrae prominent- overexposed
- 6. ROTATION • Look at the medial end of the clavicle • Both should be equidistant from the spinous process of the vertebrae-midline
- 7. PHASE OF RESPIRATION • If the diaphragm corresponds to 5 to 7 anterior ribs- good inspiratory film • Expiratory film- exaggerates the cardio thoracic ratio and broncho vascular marking • Technically difficult to take good inspiratory film
- 10. X ray 1 Part of X ray Type View Findings Diagnosis
- 12. • Chest x ray with abdomen • Plain x ray • Antero posterior(AP) view • Intestinal loops in the left hemi thorax • Absent left hemi diaphragm • Shift of mediastinum Diagnosis: Left congenital diaphragmatic hernia
- 13. X ray 2 Part of X ray Type View Findings Diagnosis
- 15. • Chest x ray with abdomen • Plain x ray • Antero posterior view • White out lungs( not able to differentiate lung and cardiac borders) • Diagnosis: Respiratory Distress Syndrome
- 16. X ray 3 Part of X ray Type View Findings Diagnosis
- 18. • Chest x ray with abdomen • Plain x ray • Antero posterior view • Coiling of naso gastric tube in the oesophagus • Fundal gas shadow seen • Diagnosis: Oesophageal atresia with tracheo esophageal Fistula
- 19. X ray 4 Part of X ray Type View Findings Diagnosis
- 20. Normal x ray of abdomen
- 21. • X ray abdomen • Plain x ray • Antero posterior view • Double bubble sign ( first bubble- stomach; second one- duodenum proximal to obstuction) • Diagnosis: Duodenal Atresia
- 22. X ray 5 • Part of X ray • Type • View • Findings • Diagnosis
- 23. NORMAL EPIPHYSES 38 WEEKS – UPPER TIBIAL & LOWER FEMORAL
- 24. • X ray knee joint • Plain • Antero posterior view • Absent upper tibial and lower femoral epiphyses (Epiphyseal dysgenesis) • Diagnosis: Congenital hypothyroidism
- 25. X ray 6 • Part of X ray • Type • View • Findings • Diagnosis
- 26. • X ray abdomen • Plain and contrast • Antero posterior view • Dilated large intestine- proximal • Distal narrowed segment • Transition zone • Diagnosis :Hirschprung`s disease
- 27. X ray 7 • Part of X ray • Type • View • Findings • Diagnosis
- 28. • Plain X ray skull • Lateral view • Widening of diploeic spaces • Thinning of cortex • Hair on end appearance • Diagnosis: Chronic hemolytic anemia – Thalassemia
- 29. X ray 8 • Part of X ray • Type • View • Findings • Diagnosis
- 30. • Plain X ray • X ray Chest • Postero Anterior view • Homogenous opacity of right upper and middle zone • No mediastinal shift • Costo/ cardio phrenic angles free • Diagnosis: Right upper lobe pneumonia
- 31. X ray 9 • Part of X ray • Type • View • Findings • Diagnosis
- 32. • Chest x ray • Plain x ray • Antero posterior view • Increased radiolucency on right hemithorax • Absent broncho vascular markings • Collapsed lung segment • Mediastinal shift to left • Diagnosis :Right sided tension pneumo thorax
- 33. X ray 10 • Part of X ray • Type • View • Findings • Diagnosis
- 34. • X ray chest • Plain • Postero Anterior view • Homogenous opacity of left middle and lower zone • Costo / cardio phrenic angles obliterated • No mediastinal shift • Diagnosis :Left sided pleural effusion
- 35. X ray 11 • Part of X ray • Type • View • Findings • Diagnosis
- 36. • Chest x ray • Plain x ray • Antero posterior view • Increased cardio thoracic ratio- cardio megaly • Pulmonary congestion • Diagnosis :Dilated cardio myopathy / congestive cardiac failure
- 37. Cardio Thoracic Ratio • c- Transthoracic diameter • a, b - Distance between midline and the maximum convexity on the right and left • If (a+b)/c is • > 55 in children • >65 in neonates • it is termed cardiomegaly
- 38. • Normal broncho vascular marking- extend upto the 2/3 rd of the lung • If it extends to the periphery- pulmonary congestion • If vascular marking are not seen prominently- oligemia
- 39. X ray 12 • Part of X ray • Type • View • Findings • Diagnosis
- 40. Normal x ray wrist AP view
- 41. • X ray wrist • Plain • Antero posterior view • Cupping, fraying, splaying • Osteopenia • 2 carpal bones • Diagnosis : Rickets
- 42. X ray 13 • Part of X ray • Type • View • Findings • Diagnosis
- 43. • Chest X ray • Plain • Postero anterior view • Upturned apex • Concavity of pulmonary bay (not seen in this ) • Pulmonary oligemia • Boot shaped heart • Diagnosis: Tetrology of Fallot
- 44. X ray 14 • Part of X ray • Type • View • Findings • Diagnosis
- 45. • X ray abdomen • Plain • Antero posterior view • Dilated bowel loops • Air under the diaphragm • Diagnosis: Perforation of hollow viscus Common in preterm- Neonatal Necrotising Entero Colitis (NNEC)