By Robin Youngs MD FRCS, Nicholas D. Stafford MB ChB FRCSMBChB FRCS
ENT In concentration is a handy pocket dimension and for this reason excellent for fast training ahead of ward rounds. the cloth is gifted in double web page spreads. The left-hand web page has a synoptic and hugely dependent textual content (normally lower than the next headings: prevalence; medical good points; differential prognosis; administration; prognosis). The right-hand web page has a variety of 4 to 6 scientific images. every one quantity additionally comprises self-assessment fabric, that is super worthy for coaching for examinations.Invaluable resource of scientific photographsSynoptic established textIncludes self-assessment fabric corresponding to photo testsNew sequence identify: In FocusNew sequence designTest revised to incorporate extra on managementPicture checks integrated in every one quantity for first time
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___________ D. ___________ G. ___________ B. ___________ E. ___________ H. ___________ C. ___________ F. ___________ J. ___________ 2 superimposed 3 A. costophrenic sulcus (angle) B. left diaphragm C. heart D. aortic knob (arch) E. trachea F. hilum G. carina H. stomach bubble J. ascending aorta Now turn the page, and redo with real films. 37 X2923_03 10/25/06 38 5:36 PM Page 38 Felson’s Principles of Chest Roentgenology FIGURE 3-2 A FIGURE 3-2 B X2923_03 10/25/06 5:36 PM Page 39 Three • The Normal Chest X-Ray: Reading Like the Pros 4 Label radiographs in Figures 3-2A and 3-2B.
Look at each lung individually, then compare left lung and right lung. 7 Arrange the following in viewing sequence: A. mediastinum ________ D. lungs—bilateral ______ B. lung—unilateral ________ E. thorax ______ C. abdomen ________ 7 Correct sequence: A. 1—Abdomen B. 2—T horax (soft tissues and bones) C. 3—Mediastinum D. 4—Lung—unilateral E. 5—Lungs—bilateral Memory jog: Are There Many Lung Lesions? Abdomen: In Figure 3-3A, start in the right upper quadrant (*) and scan across the upper abdomen several times.
2. 3. 4. 5. 6. 7. trachea carina aortic knob (arch) ascending aorta descending aorta heart right hilum Note that the left hilum is normally slightly higher than the right. FIGURE 3-5 C 45 X2923_03 10/25/06 46 5:36 PM Page 46 Felson’s Principles of Chest Roentgenology FIGURE 3-6 A FIGURE 3-6 B FIGURE 3-7 A X2923_03 10/25/06 5:36 PM Page 47 Three • The Normal Chest X-Ray: Reading Like the Pros 47 Lungs: Most chest x-rays are ordered to evaluate lung disease, so the lungs are examined last. The lungs are so important that we search them twice.