team 437 radiologyksumsc.com/download_center/1st/2.musculoskeletal block/ospe... · beam to...
TRANSCRIPT
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Radiology
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Radiology A complete revision for OSPE exam
Team 437
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Radiology
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Introduction You can go directly to the lectures, we added this just to help you better understand radiology.
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Radiology
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Introduction: diagnostic imaging tools
• Radiography is the imaging of body structures, or parts of the body, using X-rays. X-rays are a form of radiation (X-radiation). X-radiation is special because it has a very high energy level that allows the X-ray beam to penetrate through the body and create an image or picture.
• Plain X-rays are the simplest medical images created through X-radiation. Any image created using an X-ray is due to different X-radiation absorption by different structures or parts in the body.
• A dense structure, such as bone, absorbs a high percentage of the X-ray beam (which appears light grey on the image), whereas low-density structures, such as soft tissues, absorb a small percentage (which appears dark grey on the image).
rays (Radiography)-X • computed tomography (CT) is a diagnostic
imaging test used to create detailed images of internal organs, bones, soft tissue and blood vessels.
• The cross-sectional images generated during a CT scan can be reformatted in multiple planes, and can even generate three-dimensional images which can be viewed on a computer monitor, printed on film or transferred to electronic media.
• CT scanning is often the best method for detecting many different cancers since the images allow doctors to confirm the presence of a tumor and determine its size and location. CT is fast, painless, noninvasive and accurate. In emergency cases, it can reveal internal injuries and bleeding quickly enough to help save lives.
CT (Computed Tomography):
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Radiology
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• Ultrasound imaging uses sound waves to produce pictures of the inside of the body.
• It is used to help diagnose the causes of pain, swelling and infection in the body’s internal organs and to examine a baby in pregnant women and the brain and hips in infants.
• It’s also used to help guide biopsies, diagnose heart conditions, and assess damage after a heart attack. Ultrasound is safe, noninvasive, and does not use ionizing radiation.
Introduction: CTD Ultrasound:
• Nuclear medicine imaging uses small amounts of radioactive materials called radiotracers that are typically injected into the bloodstream, inhaled or swallowed.
• The radiotracer travels through the area being examined and gives off energy in the form of gamma rays which are detected by a special camera and a computer to create images of the inside of the body.
• Nuclear medicine imaging provides unique information that often cannot be obtained using other imaging procedures and offers the potential to identify disease in its earliest stages.
Nuclear medicine imaging:
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Radiology
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• Magnetic resonance imaging (MRI) of the body uses a powerful magnetic field, radio waves and a computer to produce detailed pictures of the inside of your body.
• It may be used to help diagnose or monitor treatment for a variety of conditions within the chest, abdomen and pelvis. If the patient is pregnant, body MRI may be used to safely monitor their baby.
Introduction: CTD
Magnetic Resonance Imaging: Notes:
CT Scanوال MRIكثير نتلخبط بين صور ال : وعشان نفرق
تكون واضحة Soft tissue لل MRIصور ال•
.جدا
يوضح العظم فقط النها CT scanبينما ال •
بس ياخذ صور من X rayفعليا عبارة عن
موب بس جهة واحدة, جميع الجهات
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Radiology
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Coronal Plane (Frontal Plane):A vertical plane running from side to side; divides the body or any of its parts into anterior and posterior portions.
Introduction: Planes of the Body Sagittal Plane (Lateral Plane): A vertical plane running from front to back; divides the body or any of its parts into right and left sides.
Axial Plane (Transverse Plane) : A horizontal plane; divides the body or any of its parts into upper and lower parts.
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Radiology
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Practical (1) A radiological anatomy of the vertebrae.
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Radiology
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Cervical Spine
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Radiology
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1- C1 (Atlas) 2- C2 (Axis) 3- C3 4- Vertebral Body of C5 5- Intervertebral disc 6- Spinous process 7- Transverse process 8- First rib 9- Facet Joint
X-ray Sagittal View Frontal View
Open mouth view
C2
C2
C1 C1
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Radiology
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1- Vertebral body 2- Spinous process 3- Pedicle 4- Lamina 5- Transverse foramen
1- C2 2- Disc 3- Spinal cord 4- Spinous process
MRI
CT-SCAN
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Radiology
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THORACIC SPINE
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Radiology
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2
1
5
4
3
1. Vertebral body 2. Spinous process 3. Transverse process 4. Pedicle 5. Rib
X-ray
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Radiology
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2
1
3
4
1. Vertebral body 2. Intrvertebral disc 3. Pedicle 4. Rib
X-ray
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Radiology
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2
1
7
6 5
1. Vertebral body 2. Neural foramen 3. Lamina 4. Pedicle 5. Transverse process 6. Spinous process 7. Rib
3
4
CT-SCAN
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Radiology
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Lumber Spine
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Radiology
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1. Vertebral body 2. Transverse process 3. Pedicle 4. Spinous process 5. Sacrum
1. Vertebral body L3 2. Intervertebral disc 3. Spinous process 4. Neural foramen
5. Sacrum
X-ray
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Radiology
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1. Vertebral body 2. Neural foramen 3. Spinous process 4. Pedicle 5. Transverse process
CT-SCAN
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Radiology
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1. Vertebral body 2. Neural foramen 3. Spinous process 4. Thecal sac 5. Para-spinal muscles 6. Intervertebral disc
MRI
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Radiology
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Dorsal and Lumbosacral spine
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Radiology
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Dorsal spine
1
2
3
4
5 1. Vertebral body 2. Intrvertebral disc 3. Spinous process 4. Pedicle 5. Neural foramen CT-SCAN
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Radiology
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1
2
3
4
5
6
1. Vertebral body 2. Intrvertebral disc 3. Spinous process 4. Sacrum 5. Pedicle 6. Neural foramen
Lumbosacral spine
CT-SCAN
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Radiology
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Lumbosacral spine
3
2
4
1
1. Spinal cord 2. Disc 3. Vertebral body 4. Sacrum 5. Neural foramen 6. Pedicle
6
5
MRI
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Radiology
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Ultrasound and Nuclear scan
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Radiology
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2
3
1
4
1. Ribs 2. Vertebral body 3. Disc 4. sacrum
Nuclear scan
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Radiology
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1 2
4
3
1. Vertebral body 2. Intervertebral disc 3. Spinous process 4. Spinal cord
Ultrasound
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Radiology
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Practical (2) UPPER LIMB
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Radiology
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Shoulder region
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Radiology
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1. lesser tuberosity 2. greater tuberosity 3. acromion 4. clavicle 5. coracoid 6. glenoid 7. scapula
1
2
3 4
5
6 7
1
2
3 4
5
6 7
X-ray
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Radiology
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1. acromion 2. spine 3. scapula 4. Coracoid 5. Humerus head 6. Humeral shaft
X-ray Y view
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Radiology
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X-ray
Humerus fracture
extra explanation: Spiral Humeral fractures:
generally result from an indirect force, such as a fall on an elbow or outstretched arm.
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Radiology
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1- supraspinatus muscle
2- glenoid cavity
3- humeral head
4- deltoid muscle
5- acromion
6- clavicle
7- subscapularis muscle
8- teres minor
MRI
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Radiology
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1- Biceps brachii muscle
2- Brachialis muscle
3- Brachial artery
4- Humerus
5- Triceps muscle
MRI
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Radiology
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ELBOW JOINT
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Radiology
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A-Humerus
1-Medial epicondyle 2-Olecranon fossa 3-Lateral epicondyle 4-Trochlea 5-Capitulum
B-Ulna
C-Radius Head 6-Radial 7-Radial tuberosity
X-ray
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Radiology
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1- Humerus 2- Coronoid Process 3- Radial Head 4- Radial Tuberosity 5- Olecranon process 6- Olecranon Fossa 7- Ulna
X-ray
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Radiology
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CHILD ADULT
In a child scan you can
find more cartilage than in adults.
X-ray
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Radiology
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HAND
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Radiology
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1- Metacarpophalangeal joint
2- Proximal phalanx
3- Middle phalanx
4- Distal phalanx
5- Proximal interphalanx joint
6- Distal interphalanx joint
X-ray
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Radiology
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X-ray
To help you memorize: ardHar Coy The Tush Po Tikes Lam S
erHatch Co Try Tretty Poo Tooks Lhe S omeHathy Cake To Tarty Phe Teft Lally S
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Radiology
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Child Adult
As you can see there is no carpal
bones they’re still cartilage.
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Radiology
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:Shortcuts
Extensor Carpi radialis longus (ECRL). Extensor Carpi radialis brevis (ECRB). Extensor Digitorum (ED). Extensor Digiti minimi (EDM). Extensor Carpi ulnaris (EU). Extensor pollicis longus, (EPL).
Abductor pollicis longus, (APL). Extensor pollicis brevis, (EPB).
MRI
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Radiology
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MRI
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Radiology
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Upper limb vessels
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Radiology
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UPPER LIMB VESSELS
1- Vertebral Artery 2- Axillary Artery 3- Internal Thoracic Artery 4- Posterior Humeral Circumflex Artery 5- Circumflex Scapular Artery 6- Subscapular Artery 7- Brachial Artery
1- Radial Artery 2- Ulnar Artery 3- Deep Palmar Arch 4- Common Palmar Digital Artery 5- Proper Palmar Digital Artery
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Radiology
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extra explanation: angiography: Extremity
is a test used to see the arteries in the hands, arms, feet, or legs. Use X-rays and a special dye to see inside the arteries.
RT. UPPER EXTREMITY ANGIOGRAM
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Radiology
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Practical (3) LOWER LIMB.
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Radiology
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Pelvic
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Radiology
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L5
sacrum Iliac bone
Acetabulum
Sacroiliac joint
Inferior pubic ramus
Symphysis pubis
Obturator canal
Lesser trochanter
Greater trochanter
Femur head
Femur neck
Pubic
body
Iliac crest
Superior pubic ramus
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Radiology
Team 437
5
6
7
9
8
1 2
3
4
10 11
1- Sacroiliac joint 2- Sacrum 3- Sacral neural foramen 4- Iliac bone 5- Femur head 6- Symphysis pubis 7- Ischium 8- Greater trochanter 9- Femur neck 10- Pubic bone (inferior ramus) 11- Femur shaft
CT-SCAN
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Radiology
Team 437
1
2 3
5
4
6
7 8
9 1- Femur 2- Lateral condyle 3- Medial condyle 4- Patella 5- Tibia 6- Fibula 7- Lateral tibial spine 8- Medial tibial spine 9- Intercondyle notch
X-ray
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Radiology
Team 437
1
2
3
4
5
6
7
1- Femur 2- Femur condoyle 3- Patella 4- Tibia 5- Fibula 6- Tibial teberosity 7- Tibial spine
X-ray
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Radiology
Team 437
Congenital hip dislocation
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Radiology
Team 437
Knee
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Radiology
Team 437
1
2 3
5
9
4
8
6
7
1) Femur 2) Lateral condyle 3) Medial condyle 4) Patella 5) Tibia 6) Fibula 7) Lateral tibial spine 8) Medial tibial spine 9) Intercondylar notch
X-ray
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Radiology
Team 437
1
2
3 5
4
6
7
1) Femur 2) Femur condoyle 3) Patella 4) Tibia 5) Fibula 6) Tibial tuberosity 7) Tibial spine
X-ray
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Radiology
Team 437
Severe osteoarthritis
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Radiology
Team 437
Thigh
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Radiology
Team 437
1) Vastus lateralis muscle 2) Vastus intermedius muscle 3) Vastus medialis muscle 4) Rectus femoris muscle 5) Sartorius muscle 6) Gracilie muscle 7) Adductor magnus muscle 8) Adductor longus muscle 9) Semimemranous muscle 10) Semitendinousus Muscle 11) Biceps femoris muscle 12) Femur 13) Femoral artery
MRI
CT-SCAN
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Radiology
Team 437
Ankle
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Radiology
Team 437
1- Tibia 2- Medial malleolus 3- Fibula 4- Lateral melleolus 5- Dome of talus
X-ray
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Radiology
Team 437
1- Fibula 2- Tibia 3- Talus 4- Calcenous 5- Navicular
X-ray
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Radiology
Team 437
Feet
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Radiology
Team 437
1- Medial cuneiform bone 2- Intermediate cuneiform bone 3- Lateral cuneiform bone 4- Cuboid bone 5- Navicular bone 6- Calceneal bone 7- Talus 8- Metatarsal bone (1st toe) 9- Proximal phalanx (1st toe) 10- Distal phalanx (1st toe)
X-ray
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Radiology
Team 437
Lower limb vessels
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Radiology
Team 437
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Radiology
Team 437
1- Popliteal artery 2- Anterior tibial artery 3- Peroneal artery 4- Posterior tibial artery
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Radiology
Team 437
THANK YOU Contact us on:
@Radiology437 [email protected]
Team Leaders:
Team members:
Faisal Alqusaiyer Rawan Alharbi
Homoud al zaid
Abdullah alsergani Mohammad alasqah
Abdullah Almeaither
Adel alzahrani Mohannad alamri
Abdullah Alomar
Abdulrahaman Altalasi Saad alhaddab Afnan almustafa
For checking our work.