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Arthrography Week 2 RT 72

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Question
Answer
What is Arthrography?   show
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show A patient has symptoms that cannot be diagnosed with x-ray's. Tears of joint capsule, menisci, or ligaments are traumatic. Bakers Cyst is pathologic.  
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show Menisci, Ligaments, Articular Cartilage, Bursae.  
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show Arthrography performed with negative contrast in the joint space (usually air or gas)  
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What is Opaque Arthrography? What type of contrast is used?   show
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What is dual contrast arthrography? What type is injected first. Why is this?   show
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show Vasovagal reactions, allergic reactions, infection.  
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Why is the scout film taken for knee arthrography?   show
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show To verify the needle is in the correct place, make sure the contrast is going in the joint space.  
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show Synovial fluid must be removed to avoid dilution of contrast media.  
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For knee arthrography what technique is used for spot films. Why is this?   show
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For knee arthrography where is the ace bandage wrapped and why? Where should the contrast concentrate>   show
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Why is the knee exercised for 30 seconds after contrast injection for knee arthrography?   show
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For knee arthrography, which method uses the stretch device? Where is the stretch device placed for medial delineation? For later delineation?   show
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For knee arthrography, how many exposures are taken for the Vertical/Overhead method & how many degrees is the knee rotated? For the Horizontal method?   show
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For vertical/overhead method why is the leg placed in a stress device for knee arthrography?   show
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What are the scout films taken for knee arthrography?   show
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What type of contrast will be used for double contrast horizontal method for knee arthrography? Why is this?   show
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show 10 ml syringe, 20 gauge needle, 5 ml contrast. For double contrast a 50 ml syringe.  
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Why is hip arthorgraphy commonly performed in adults?   show
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show To make the cement bone interface visible.  
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Why is subtraction used on the films of hip arthrography?   show
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Why is hip arthrography commonly performed on children?   show
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show 3/4" distal to inguinal crease & 3/4" lateral to palpated femoral pulse.  
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show The spinal needle. Need a pretty long needle to get in to the hip joint.  
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What are the 4 aspects of the shoulder anatomy demonstrated on shoulder arthrography?   show
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show Rotator cuff  
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What are the overheads for the shoulder arthrography.   show
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show Rotator cuff or Glenoid Labrum abnormalities, Persistent pain or weakness, Frozen shoulder.  
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Where is the injection site for shoulder arthrography? What size needle is used? How much contrast is used for single contrast & double contrast?   show
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show Trauma. Stretched or loose posterior ligament.  
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show 1/2" anterior to tragus of ear. About 0.5 ml to 1.0 ml of positive contrast.  
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show open & closed mouth.  
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Created by: jamestkelley
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