This is the check list that i used: Make a list of things you frequently miss and in the exam, look for those things first.
RR checklist |
- craniofacial
- skull radiograph checklist
- Fracture – depressed
- Sphenoid air-fluid
- Air in orbit and skull
- Sella
- FB in the eye
- Lytic lesions in the skull
- Upper C spine – dens
- facial bones radiograph checklist
- Fluid in maxillary sinus
- Don’t call blow out – say orbit floor #
- Tripod
- skull radiograph checklist
- c-spine radiograph checklist
- AA distance
- Harris ring
- Prevertebral soft tissue
- 3 lines
- fracture – chance, peg, hang man
- facet – perched
- l&t-spine radiograph checklist
- Collapse
- Lung mass / lobar collapse
- paraspinal soft tissue
- Empty VB sign – each VB should have accompanying posterior elements – vertebra plana
- pedicles – mets
- SI joint
- Calcified aortic aneurysm
- chest radiograph checklist
- Situs
- Air: Pneumothorax, pneumomediastinum, pneumoperitoneum, surgical emphysema
- Apices – nodule or pneumothorax
- Bones: shoulder dislocation, clavicle fracture, humerus fracture, missing pedicle, check ribs last (missing rib, lytic area, notching, fractures)
- Cardia: heart chamber enlargement, pericardial effusion, retrocardiac region
- Mediastinum – tracheal deviation, paratracheal stripe
- Collapse: veil, retrocardiac triangle, RML, RUL
- Diaphragm: lesion behind the diaphragm
- Hila, mediastinum – esophagus
- Lungs – call it NODULE or consolidation – not mass or pneumonia
- Pleura – CP and cardiophrenic recess
- Soft tissue – Breast shadow, neck mass, axilla (look for clips etc.)
- upper limb
- shoulder radiograph checklist
- dislocation or #
- AC joint
- Bankart lesion
- AVN
- Lung – mass, PTX
- Ribs – # or lytic lesion
- elbow radiograph checklist
- wrist radiograph checklist
- Triquetral fracture on lateral
- Scaphoid fracture will have 4 views
- Hamate hook # on lateral and AP
- Scapho-lunate dissociation
- Distal radius # – impacted fracture
- Buckle, torus, SH #
- AVN of lunate and scaphoid
- hand radiograph checklist
- MC or phalange #
- Acro-osteolysis
- Foreign body
- shoulder radiograph checklist
- abdomen radiograph checklist: bones, stones, solid (organs), liquids (bile, urine), gas (extraluminal, mural, intraluminal)
- Bowel – obstruction, hernial orifice
- Foreign body
- Colitis – thumb printing, toxic megacolon
- Pneumo – look if the gas takes the shape of the kidney, rigler, PV gas or pneumobilia, retroperitoneal gas, GB or urinary bladder air
- Soft tissue – hepatosplenomegaly, psoas outline, kidneys, pelvic mass, missing spleen
- Calcification – aortic aneurysm, appendicolith, gall stone, renal stone, uterine fibroid, dermoid, pancreatic, hydatid
- Bones – sacroilitis, ivory vertebra, missing pedicle, missing VB (collapse), lytic lesion in pelvis, AVN, Lower ribs
- Lung base– bronchiectasis
- Pelvis:
- SI joint
- Avulsions – AIIS, pubic tubercle
- Looser zones
- Iliac wing #
- SUFE, Perthe
- Impacted NOF fracture
- Hernial orifices
- lower limb
- knee radiograph checklist
- lipohemarthrosis
- tibial plateau
- SONK in femur
- OCD
- Segond and Pelligreni Steida lesion
- Patella alta and baja
- ankle radiograph checklist
- Tibial, fibular #
- Lateral talar #
- Talar dome – OCD: look carefully in the part overlapping the fibula
- Calcaneal
- Base of 5th
- Tarsal coalition
- foot radiograph checklist
- Base of 5th vs apophysis
- Lis franc – alignment
- Stress # – periosteal rxn only
- AVN – freiberg
- Malleolar #
- Lateral talar #, anterior calcaneal #
- knee radiograph checklist
Awesome list. Thank you.
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