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Anurag Agarwal, MD, Radiologist, NBE (radiograph) Lars Ensign, MD (annotations)
Remove constraint Creator: Anurag Agarwal, MD, Radiologist, NBE (radiograph) Lars Ensign, MD (annotations)
Keyword
Neoplasms
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Subject
Diagnostic Imaging
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- Title:
- X-ray (chest), PA, Metastatic Cancer, Adult Male
- Description:
- 1.Multiple bilateral spherical masses (greater than 30 mm diameter) and nodules (less than 30 mm) characteristic of metastatic cancer. Many types of primary cancers metastasize to the lungs but the most common are breast, colon, prostate, and bladder cancer. 2. Fluid meniscus-shaped blunting of left costophrenic angle from pleural effusion. 3. Annotation #3 marks the radio-opaque strip built into an endotracheal tube. The tip of endotracheal tube surrounded by air-filled balloon. The ideal position for the endotracheal tube tip is in the mid trachea, 3-5 cm from the carina, or approximately the mid point between the clavicles and the carina (the division of the right and left mainstem bronchi - just superior to annotation C). The minimal safe distance from the carina is 2 cm because movement of the patient's head can lead to right main stem bronchus intubation. If the tip of the endotracheal tube is too high it can be dislodged by movement of the patient's head leading to extubation. Unrecognized displacement of the endotracheal tube in either direction rapidly becomes a very hazardous situation for the patient. Frequently the exact position of the carina can be difficult to ascertain, particularly on portable AP studies. Its location can be estimated by drawing a line that bisects the midpoint of the aorta at a 45-degree angle running inferiorly to the right (please see second x-ray). 4. Gastric tube with tip in stomach. Once a patient is endotracheally intubated a nasogastric or oralgastric tube is typically immediately placed to decompress the stomach helping to prevent aspiration as well as vent out air that may have been forced into the stomach during bag-valve mask ventilation. A air-distended stomach can prevent effective ventilation, particularly in pediatric patients. Remembering this pearl under pressure of a pediatric resuscitation may save a potentially salvageable pediatric patient during your career.
- Keyword:
- Radiology, Diagnostic X-Ray, Diagnosis, Neoplasms, cancer, metastatic cancer, Radiography, Roentgenography, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, X-Ray, Diagnostic, Diagnostic X-Ray Radiology
- Subject:
- Diagnostic Techniques and Procedures, Diagnostic Imaging, Multimodal Imaging
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph) Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1441
- Title:
- X-ray (chest), Metastatic Cancer, Adult Male
- Description:
- 1.Multiple bilateral spherical masses (greater than 30 mm diameter) and nodules (less than 30 mm) characteristic of metastatic cancer. Many types of primary cancers metastasize to the lungs but the most common are breast, colon, prostate, and bladder cancer. 2. Fluid meniscus-shaped blunting of left costophrenic angle from pleural effusion. 3. Annotation #3 marks the radio-opaque strip built into an endotracheal tube. The tip of endotracheal tube surrounded by air-filled balloon. The ideal position for the endotracheal tube tip is in the mid trachea, 3-5 cm from the carina, or approximately the mid point between the clavicles and the carina (the division of the right and left mainstem bronchi - just superior to annotation C). The minimal safe distance from the carina is 2 cm because movement of the patient's head can lead to right main stem bronchus intubation. If the tip of the endotracheal tube is too high it can be dislodged by movement of the patient's head leading to extubation. Unrecognized displacement of the endotracheal tube in either direction rapidly becomes a very hazardous situation for the patient. Frequently the exact position of the carina can be difficult to ascertain, particularly on portable AP studies. Its location can be estimated by drawing a line that bisects the midpoint of the aorta at a 45-degree angle running inferiorly to the right (please see second x-ray). 4. Gastric tube with tip in stomach. Once a patient is endotracheally intubated a nasogastric or oralgastric tube is typically immediately placed to decompress the stomach helping to prevent aspiration as well as vent out air that may have been forced into the stomach during bag-valve mask ventilation. A air-distended stomach can prevent effective ventilation, particularly in pediatric patients. Remembering this pearl under pressure of a pediatric resuscitation may save a potentially salvageable pediatric patient during your career.
- Keyword:
- Radiography, metastatic cancer, Roentgenography, Radiology, Diagnostic X-Ray, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, Diagnostic X-Ray Radiology, X-Ray, Diagnostic, Neoplasms, Diagnosis, cancer
- Subject:
- Multimodal Imaging, Diagnostic Techniques and Procedures, Diagnostic Imaging
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph) Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1441