CT Scanning: The Course Rich Lehrer, CRT, BS Ed..
-
Upload
katherine-atkinson -
Category
Documents
-
view
213 -
download
0
Transcript of CT Scanning: The Course Rich Lehrer, CRT, BS Ed..
![Page 1: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/1.jpg)
CT Scanning:
The Course
Rich Lehrer, CRT, BS Ed.
![Page 2: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/2.jpg)
What we’ll talk about...
What’s a CT Scanner? MOI Normal Radiographic Appearance Injured Radiographic Appearance
![Page 3: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/3.jpg)
Helical Scan
![Page 4: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/4.jpg)
Anatomy presented
Head– EDH
Facial Bones– Orbital Blow-Out
– Z Arch & Mandible
C -Spine T- Spine L - Spine
Chest– Flail Chest
– Pneumothorax
– Hemothorax
– Aortic Aneurysm
Abdomen– Solid Organ Lacs.
Pelvis Extremity
![Page 5: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/5.jpg)
Indications for CT Head
Neurologic Deficit Observed LOC or decreasing LOC Severe Trauma Obvious Injury Penetrating Injury Vomiting, HA, other unexplained behavior
![Page 6: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/6.jpg)
Head Scans
Subdural Hematoma Epidural Hematoma Basal Skull Fx Coup Contra Coup Depressed Skull Fx
![Page 7: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/7.jpg)
![Page 8: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/8.jpg)
![Page 9: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/9.jpg)
![Page 10: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/10.jpg)
Epidural Hematoma
![Page 11: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/11.jpg)
Mass effect of the brain
![Page 12: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/12.jpg)
Subarachnoid Hemorrhage
![Page 13: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/13.jpg)
![Page 14: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/14.jpg)
S/P Rock to head 2 days ago...
![Page 15: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/15.jpg)
Facial Bones
La Forte I, II, III Orbits - Blowout Fx Maxillary Sinus filled with blood Mandible Fx Zygomatic Arch
![Page 16: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/16.jpg)
Axial Coronal
![Page 17: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/17.jpg)
Incidental Mandibular Fracture
![Page 18: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/18.jpg)
Zygomatic Arch Fx.
![Page 19: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/19.jpg)
Chest
Fractured Ribs– 1-3 indicate High Impact - look for other injury
PTX & Hemothorax Aneurysm Rib FX may cause other abdominal injury
![Page 20: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/20.jpg)
Fractured Sternum
![Page 21: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/21.jpg)
Pneumothorax
![Page 22: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/22.jpg)
Dissecting Aneurysm
![Page 23: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/23.jpg)
Still going...
![Page 24: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/24.jpg)
3-D ReconSagittal
![Page 25: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/25.jpg)
![Page 26: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/26.jpg)
Fractured Rib
![Page 27: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/27.jpg)
Fractured Ribs sharp and pointy...
![Page 28: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/28.jpg)
Abdomen Scan vs. DPL
CT Scan + Less Invasive + Solid Organ
Lacerations + Retroperitoneal Bleed - Contrast Injection - Not sensitive to bowel
injury Decreasing Hct.(6 points)
DPL + Can be preformed
anywhere + Bowel Lacerations - Retroperitoneal Bleed - More Invasive
![Page 29: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/29.jpg)
![Page 30: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/30.jpg)
Liver Laceration
![Page 31: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/31.jpg)
Kidney Laceration
![Page 32: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/32.jpg)
Sometimes we see spinal fractures on abdominal scans.
![Page 33: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/33.jpg)
Reconstruction (MPR)
All the images exist in electronic format. Put them back together again. Manipulate them. Display them in any format that you want.
![Page 34: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/34.jpg)
L Spine 3-D Reconstruction
![Page 35: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/35.jpg)
T-spine Fx
![Page 36: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/36.jpg)
![Page 37: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/37.jpg)
Pelvis
Acetabular Fx Other Pelvic Fracture 3-D Reconstruction
![Page 38: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/38.jpg)
3-D Recon ofPelvic Fx.
![Page 39: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/39.jpg)
Calcaneous
![Page 40: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/40.jpg)
Out in the field...
Allergy history Diabetic? Kidney Function and/or Dialysis?
![Page 41: CT Scanning: The Course Rich Lehrer, CRT, BS Ed..](https://reader030.fdocuments.us/reader030/viewer/2022032708/56649e7b5503460f94b7ca1e/html5/thumbnails/41.jpg)
Thanks for inviting me...
Hope you enjoyed this whirlwind tour!
Come visit us anytime.