A less than optimal AP oblique lumbar vertebrae projection does not demonstrate the vertebra's superior and inferior articular processes in profile and the corresponding zygapophyseal joint spaces are closed
a. To obtain an optimal projection, move the central ray superiorly.
b. The laminae will also be obscured on this projection.
c. If the pedicles are also demonstrated at the midpoint of the vertebral bodies on this projection, the patient was rotated less than 45-degrees.
d. If the pedicles are also demonstrated adjacent to the vertebra's lateral vertebral body borders on this projection, the patient would need to rotate more to obtain an optimal projection.
D
You might also like to view...
You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are conscious but seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer EMTs and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles
away but a larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision? A) Transport both patients in one unit to the community hospital. B) Transport the first patient to the community hospital while one EMT and one first responder remain with the patient, then immediately return to the scene for the second patient. C) Transport both patients in one unit to the regional trauma center. D) Transport the first patient to the community hospital while one EMT and one first responder wait on the scene for the BLS transport unit.
Two weeks post hydrodilatation of the bladder, with the findings consistent with (1)________ cystitis. At this time, she continues to have, and in fact may have, worse symptoms of (2)________, frequency, dysuria, (3)________ discomfort, and low back pain. Her frequency appears to be less than prior to hydrodilatation. She has completed her course of (4)________ 100 mg p.o. b.i.d., (5)________ 5
mg p.o. b.i.d., and Pyridium 200 mg p.o. q.i.d. We plan to instill DMSO into the bladder on a weekly basis ×4 starting today, reevaluating in 6 weeks, at which time we will probably decrease her dosage to one bladder (6)________ every other week ×2 months. We expect the DMSO to improve her (7)________ and allow for a gradual decrease in the frequency of DMSO bladder instillation. We discussed the possible utilization of Elmiron, a new drug available for patients with interstitial cystitis; however, she is aware that we will first try DMSO bladder instillations on a regular basis to resolve her problems. She is also aware that 95% of the patients using DMSO get significant relief, with gradual improvement in their symptoms and possible long-term resolution of their interstitial (8)________. She is also aware that this is a chronic disorder that she will be living with for the remainder of her life. DMSO 50 mL was instilled in the bladder, to be held for 20 minutes up to as long as 2 hours. A bladder urine was obtained during the (9)________ process, and culture and (10)________ will be performed on the urine. Will return weekly for the next 3 weeks for DMSO bladder installation by my nurse practitioner and will see for followup office visit in approximately 5 to 6 weeks.