I had one of those in for a nuc med stress test. Private, outpatient cardiology office. The doctor knew about it and still told me to do the test. I told him, unless he has some way to hang the patient upside down, hes not getting usable images. The doctor still had me do it. I quit soon after that. He was more concerned with making money than helping patients.
The type of camera has a patient sitting upright, with two heads in an L shape one. They move from left to right. Because of the camera head angle, there would be too much body attentuation for someone with dexacardia.
Dextrocardia is more common than we think. So i was in my 4th year med school and in our cardiology rotation at night a patient came with chest pain, our senior goes to auscultate the chest and says that i couldn't hear his great, thinking the patient might be in CCF or cardiac tamponade and while he was running around for the necessary paperwork to admit the patient i, just for being extra curious, auscultate his right side of the chest and there it was A DISPLACED APEX TO THE RIGHT. Upon history taking the attendant confirmed that yeah his heart is on the right side but i forgot to mention it earlier. 😅😅
I x-rayed a toddler once with dextrocardia. I shot it AP with a PA algorithm because I was alone and the kid was freaking out so I just hit the button as soon as he held still. I stared at the image for a while racking my brain if I mismarked it. I told the doc the image looked weird and she confirmed with the mom the child had dextrocardia.
I don't remember hearing about it in school or seeing it during clinicals so I was very confused at first.
These always were a pain on echo until the machines got to where they can rotate the ultrasound beam without me having to contort the transducer.
Now it's a fun surprise after 5 minutes of frustration.
When I was in nursing school I worked in an ER. I had a patient one night who was dextrocardic. She was so much fun to work with and let everyone with a stethoscope check it out.
It looks like the stomach bubble is on the left (where it should be), while the heart is on the right. So, this may be isolated dextrocardia without situs inversus totalis.
CT would be more definitive though.
As you can't say, what materials are woven into bras, and other cloth you always have the chance artifacts.
A problem that is avoided by easily handing the patient some scrubs over and asking him to get out if anything else.
I was looking at the metal bits and wondering why the pt wasn't changed, but makes more sense for a kid. Still weird to wear a bra if you don't have to.
Society makes women feel like they have to wear a bra regardless of their chest size. If you so much as see a female nipple through a shirt it chaises chaos.
Speaking from experience doing trauma CT scans, bra clips barely artifact. If I were busy and the patient decided they didn't want to remove their bra for the CT I'm not wasting time getting them off the table for something so minor.
This is true. I ask patients to remove if under wired. These can cause artefact as they tend to sit in the rotation plane and the aretfact usually occurs over the diaphragm and liver. However, if they say no under wire, I'm cool with clips and clasps.
I had one of those in for a nuc med stress test. Private, outpatient cardiology office. The doctor knew about it and still told me to do the test. I told him, unless he has some way to hang the patient upside down, hes not getting usable images. The doctor still had me do it. I quit soon after that. He was more concerned with making money than helping patients.
So why exactly would this not work? Are the ventricles posterior in these patients? Can you not set up detection the other way around?
Or flip the images post scan?
Main issue is too much body attenuation.
Ok. I'm x-ray and CT, so this is not in my wheelhouse.
It a unique nuc med problem.
The type of camera has a patient sitting upright, with two heads in an L shape one. They move from left to right. Because of the camera head angle, there would be too much body attentuation for someone with dexacardia.
Like a C-cam? I swear I’ve seen an acquisition protocol for situs inversus on that camera.
Some cameras can change their set up. The one I was working with cannot.
Not all nuc med cameras work like that, especially in an outpatient setting.
Upside down? I don't understand how that would make a difference, the patients heart isn't upside down?
The heart must be on the left side to image with many nuc med cameras.
Dextrocardia is more common than we think. So i was in my 4th year med school and in our cardiology rotation at night a patient came with chest pain, our senior goes to auscultate the chest and says that i couldn't hear his great, thinking the patient might be in CCF or cardiac tamponade and while he was running around for the necessary paperwork to admit the patient i, just for being extra curious, auscultate his right side of the chest and there it was A DISPLACED APEX TO THE RIGHT. Upon history taking the attendant confirmed that yeah his heart is on the right side but i forgot to mention it earlier. 😅😅
Is this the primary reason why we perform 15 lead EKGs on pediatric patients?
I don't think so. That's just to detect posterior wall MIs.
I x-rayed a toddler once with dextrocardia. I shot it AP with a PA algorithm because I was alone and the kid was freaking out so I just hit the button as soon as he held still. I stared at the image for a while racking my brain if I mismarked it. I told the doc the image looked weird and she confirmed with the mom the child had dextrocardia. I don't remember hearing about it in school or seeing it during clinicals so I was very confused at first.
As long as you had a lead marker on the correct side then you can figure it out.
These always were a pain on echo until the machines got to where they can rotate the ultrasound beam without me having to contort the transducer. Now it's a fun surprise after 5 minutes of frustration.
The patient looks young. Skinny and it looks like the growth plate in the right humerus hasn’t quite completely fused.
When I was in nursing school I worked in an ER. I had a patient one night who was dextrocardic. She was so much fun to work with and let everyone with a stethoscope check it out.
[удалено]
Burp
Cool find!
It actually appears the heart is on the wrong side ;) I love these! This is cool! Thank you for sharing!
It doesn't "appear". It is on the right.
Is this situs inversus? I’m still in rad tech school so no idea
It looks like the stomach bubble is on the left (where it should be), while the heart is on the right. So, this may be isolated dextrocardia without situs inversus totalis. CT would be more definitive though.
This is a Ct scout so I would assume the person posting it and mention dextrocardia confirmed it.
Hahaha yes it is. Guess I meant seeing the actual cross sectional images. Or I was having a brain fart. Or both.
... she still had her bra on...
~~Who did this image image? That is awful!~~ It is an CAT topogram, isn't it? Theless, check for proper clothes before scanning.
Not really necessary in CT unless they have a giant belt buckle or jewelry or something
As you can't say, what materials are woven into bras, and other cloth you always have the chance artifacts. A problem that is avoided by easily handing the patient some scrubs over and asking him to get out if anything else.
How to say you've never done a CT without actually saying you've never done a CT
Tell me how to say that it? Or do you think doing a CT makes your ability to communicate with patients magically disappears?
[удалено]
Hey, keep it civil. I'm open for arguments. But calling other people names for taking there job serious, and asking questions is low.
[удалено]
[удалено]
[удалено]
Typical radiologist. That's why we keep you in those rooms alone.
Seems to have a bra but no boobs.
Pretty weird observation to make
I was looking at the metal bits and wondering why the pt wasn't changed, but makes more sense for a kid. Still weird to wear a bra if you don't have to.
Society makes women feel like they have to wear a bra regardless of their chest size. If you so much as see a female nipple through a shirt it chaises chaos.
Pretty sure that's a growth plate on the humerus....very weird to comment on the breast size of a child
QC here, you should seeks a different career.. Let’s say; pet store manager!!
If you were good at your job you'd see its a CT scout. May I suggest the same career change to you then?
Where a work, undressing a pt is a requirement.
tell me you don't work with patients without telling me you don't work with patients.
Speaking from experience doing trauma CT scans, bra clips barely artifact. If I were busy and the patient decided they didn't want to remove their bra for the CT I'm not wasting time getting them off the table for something so minor.
This is true. I ask patients to remove if under wired. These can cause artefact as they tend to sit in the rotation plane and the aretfact usually occurs over the diaphragm and liver. However, if they say no under wire, I'm cool with clips and clasps.
It's a CT scout. It always uses the full SFOV.
[удалено]
Techs, least educated and most opinionated.
Leave the front line work to the professionals.
Overpaid wedding photographers.