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Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
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Clinical Laboratory Techniques
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- Title:
- X-ray (chest), PA, Aortic Dissection, Adult Male
- Description:
- CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
- Keyword:
- X-Ray Computerized Axial Tomography, CT Scan, X-Ray, Cine-CT, Computed X Ray Tomography, Tomography, Xray Computed, Tomography, Transmission Computed, Computerized Tomography, X-Ray, Tomography, X-Ray Computerized, Tomodensitometry, Electron Beam Tomography, X-Ray Tomography, Compute, Electron Beam Computed Tomography, Tomography, X Ray Computed, Computerized Tomography, X Ray, X-Ray Computer Assisted Tomography, Aortic Dissection, X Ray Tomography, Computed, Diagnosis, Tomography, X-Ray Computerized Axial, CAT Scan, X-Ray, CT X Ray, CAT Scan, X Ray, Computed Tomography, X-Ray, aorta, Tomography, X-Ray Computer Assisted, aortic, X Ray Computerized Tomography
- Subject:
- Dissection, Multimodal Imaging, Aorta, Clinical Laboratory Techniques, Diagnostic Techniques and Procedures, Arteries, Blood Vessels, Diagnostic Imaging, Cardiovascular System, Tomography, X-Ray Computed
- 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:
- 1384
- Title:
- X-ray (chest), PA, Aortic Dissection, Adult Male
- Description:
- CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
- Keyword:
- Computed X Ray Tomography, Tomography, X-Ray Computerized Axial, Aortic Dissection, Tomodensitometry, aorta, Computerized Tomography, X-Ray, Cine-CT, Electron Beam Computed Tomography, Tomography, X Ray Computed, CT X Ray, X-Ray Computer Assisted Tomography, X Ray Computerized Tomography, CAT Scan, X-Ray, Tomography, X-Ray Computer Assisted, X-Ray Computerized Axial Tomography, Diagnosis, Tomography, X-Ray Computerized, X-Ray Tomography, Computed, CAT Scan, X Ray, Tomography, Transmission Computed, X Ray Tomography, Computed, Computed Tomography, X-Ray, Electron Beam Tomography, CT Scan, X-Ray, Computerized Tomography, X Ray, Tomography, Xray Computed, aortic
- Subject:
- Cardiovascular System, Multimodal Imaging, Diagnostic Imaging, Dissection, Arteries, Diagnostic Techniques and Procedures, Aorta, Clinical Laboratory Techniques, Blood Vessels, Tomography, X-Ray Computed
- 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:
- 1384
- Title:
- X-ray (chest), PA, Aortic Dissection, Adult Male
- Description:
- CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
- Keyword:
- aorta, X Ray Tomography, Computed, Computed Tomography, X-Ray, Tomography, Transmission Computed, Computed X Ray Tomography, aortic, Electron Beam Computed Tomography, CAT Scan, X-Ray, CT X Ray, Electron Beam Tomography, Aortic Dissection, Diagnosis, Computerized Tomography, X Ray, Tomography, X-Ray Computerized Axial, X-Ray Tomography, Computed, Tomography, X-Ray Computer Assisted, Cine-CT, CT Scan, X-Ray, Tomodensitometry, Tomography, Xray Computed, Tomography, X Ray Computed, X-Ray Computer Assisted Tomography, Computerized Tomography, X-Ray, X Ray Computerized Tomography, CAT Scan, X Ray, Tomography, X-Ray Computerized, X-Ray Computerized Axial Tomography
- Subject:
- Dissection, Multimodal Imaging, Cardiovascular System, Clinical Laboratory Techniques, Diagnostic Imaging, Blood Vessels, Arteries, Diagnostic Techniques and Procedures, Tomography, X-Ray Computed, Aorta
- 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:
- 1384