Week 2 C-spine Lateral, Pillars & Thoracic spine 79

Week 2 C-spine Lateral, Pillars & Thoracic spine 79...

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1 5.8 Neutral Lateral Cervical Spine Part of all cervical spine series. Hang the non-Bucky film holder on top of Bucky. Slide upper film holder up to place film in holder. Center holder and film to beam.
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2 Neutral Lateral Cervical Spine Measure: Lateral at C-4. Protection: Half Apron SID: 72” using non-Bucky film holder. Film: 8” x 10” Regular I.D. Down Portrait with anterior head carriage 10” x 12” I.D. Regular Down Portrait.
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3 Neutral Lateral Cervical Spine Patient in lateral position. Acanthiomeatal line perpendicular to film. Intrapupillary line perpendicular to film. Shoulder should touch the film.
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4 Neutral Lateral Cervical Spine Horizontal CR: at level of C-4. Proper head extension is critical to proper placement. Vertical CR: through EAM. Center film to horizontal CR.
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5 Neutral Lateral Cervical Spine Give the patient the sandbags. Ask patient to relax their shoulders. For broad shoulder, pull shoulders back. Collimation top to bottom: EAM to T-1 or less than film size.
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6 Neutral Lateral Cervical Spine Collimation side to side: Skin of neck. Breathing Instructions: “Take a small breath in, now blow it out and hold it out.” Full expiration Make exposure Carefully remove film from holder.
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7 Neutral Lateral C-spine Film Need to see down to C-7 and T-1 disc space. Mandibles should be superimposed. No head rotation. Need to see posterior aspect of hard palate to draw Mc Gregor’s line.
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8 Neutral Lateral C-spine Film If the patient is anterior weight bearing, use a 10” x 12” regular speed cassette in the portrait orientation.
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9 5.9 Flexion and Extension Lateral Cervical Spine Views Taken as part of the Davis Series Can replace the oblique views in the complete cervical spine series. Taken after the Neutral Lateral. If acute patient review, limited cervical films before doing either flexion or extension views. Do extension lateral before flexion because little equipment change will be needed.
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10 Extension Lateral Cervical Spine During extension, patient may become dizzy. Watch patient carefully. Patient must determine the range of motion. Don’t force farther than they can tolerate.
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11 Extension Lateral Cervical Spine Measure: Lateral at C-4. Protection: Half Apron SID: 72” non Bucky Film: 8” x 10” I.D. down Portrait Marker: “L” for left side to film and “EXT” or arrow pointing backwards to indicate extension.
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Extension Lateral Cervical Spine Patient standing or seated in lateral position. Intrapupillary line perpendicular to film. Patient given sandbags to pull shoulders down. Patient asked to extend
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This note was uploaded on 01/06/2012 for the course PB 322 taught by Professor Wilson during the Summer '09 term at Palmer Chiropractic.

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Week 2 C-spine Lateral, Pillars & Thoracic spine 79...

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