Week 6 A-P full spine & Lumbar40

Week 6 A-P full spine & Lumbar40 - A-P Full Spine...

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1 A-P Full Spine and Lumbopelvic Radiography Views require precise positioning. Patient should stand with feet shoulders width apart. Shoe should be off and knees locked to evaluate leg length. Measurements for technical factors will be at the umbilicus.
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2 A-P Full Spine Initial film taken A-P. Follow up or serial studies may be taken P-A. Uses highest tube load of any routine spinal views. Taken with 72 inches or greater SID. A step by step approach is critical to avoid errors.
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3 7.2 A-P Full Spine Measure: A-P at umbilicus Protection: Bell for males and heart filter for females SID: 72 inches No tube angle Film : 14” x 36” I.D. up
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4 A-P Full Spine Step 1 Radiation Protection Heart shaped filter used for A-P full spine on female patients. Top of heart placed at level of the ASIS Belt placed on patient with red Velcro to front
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5 A-P Full Spine Step 1 Radiation Protection Bell shaped lead shield used for male patients for radiation protection. Top of bell is placed just below the inferior border of the symphysis pubis
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6 A-P Full Spine Step 2 Patient stands facing tube with feet shoulders width apart and parallel to Bucky. Have patient raise chin until the acanthameatal line is perpendicular to film. Bottom of film placed 1” to 2” below gluteal folds Set horizontal central ray at the tip of the xiphoid process .
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7 A-P Full Spine Step 3 Usually the horizontal central ray will be centered to film. Adjust horizontal central ray and collimation to get from the EAM to symphysis pubis on the film. Collimate side to side to slightly less than film size.
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8 A-P Full Spine Step 4 Paraspinal Shield There are two widths of paraspinal shields. The thinnest opening is used for small patients and children. It is placed in the first slot of the filter rack. It must shield down to the xiphoid process or breast tissue.
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9 APFS Step 4 Paraspinal Shield The horizontal central ray will usually be at the xiphoid process.
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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 6 A-P full spine & Lumbar40 - A-P Full Spine...

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