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The C-Spine
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Things to know 5 views AP, Lateral, Oblique, Open mouth Shield Marker
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Lateral 10 x 12 lengthwise Measure about 11 75 @ 28 Expiration
Remove metal
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Position of patient Patient is erect with shoulder against IR
Align midcoronal plane to CR and midline of bucky Depress shoulders as far down as possible Raise chin slightly
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CR perpendicular to C4 at 72 Inches
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Seen on Radiograph Cervical vertebral bodies. C1-C7
Intervertebral joint spaces Spinous processes Zygapophyseal joints.
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Oblique AP or PA 10 x 12 lengthwise Measures 11 10 Hold breath
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Positioning Patient erect with arms at side
Align spine to midline of IR Rotate patient 45 Degrees (right & left) Raise chin lightly
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SID 72 Inches at C4 PA Angle 15 degrees Caudad AP angle 15 Cephalad
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Collimate skin borders
Hold breath
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Seen on Film Intervertebral foramina C1- C7 Pedicles in profile
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AP 10 x 12 lengthwise 10 Measures 11 Hold breath
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Positioning Patient erect or supine
Align midsagittal plane with midline of table Adjust head so that the occlusal plane is aligned with mastoid tips or base of skull and perpendicular to table.
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CR is 15 Cephalad to C4 SID 40
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Seen on Radiograph C3-T2 vertebral bodies Space between pedicles
Intervertebral disk spaces No rotation
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Open Mouth 8 x 10 lengthwise Measures 15 75 @ 15 Hold breath
Remove dentures
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Positioning Align midsagittal plane with midline of IR
Ajust head so lower margin of teeth and mastiod tips is perpendicular to IR No rotation Open mouth wide as possible Patient erect or supine.
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CR perpendicular through center of open mouth.
SID 40
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Seen on radiograph Dens Body of C2
Zygapophyseal joint between C1 and C2
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