Radiography of the Difficult Case (6 CR)

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Course Overview:

This course covers various issues that can challenge even an experienced x-ray technician:

  • Unit 1: Challenges of avoiding artifacts
  • Unit 2: Radiation Safety; Cervical Spine Challenges
    • Radiation safety issues that may not be understood
    • Challenging X-ray Projections in the cervical spine
      • APOM
      • The elusive C7 on lateral cervical views
      • Cervical obliques
  • Unit 3: Lumbar Spine & Pelvis Challenges
    • Other Challenging X-ray Projections
      • Lumbar obliques
      • Lumbar obliques with segmental rotation
      • Lumbar bending
      • Sacrum, coccyx, S-I joints
      • Ribs
  • Unit 4: Documentation; Body Type Challenges
    • Difficulties with documentation
    • Concerns related to dealing with certain body types: Large, Muscular, Osteoporotic
  • Unit 5: Dealing with certain spinal conditions, certain patient groups
    • Concerns related to dealing with certain spinal conditions: Scoliosis, Thoracic hyperkyphosis, Lumbar hyperlordosis
    • Concerns related to dealing with certain patient groups: Children
  • Unit 6: Dealing with certain patient groups, other challenging patient characteristics, personality types
    • Concerns related to dealing with certain patient groups: Elderly, Other Languages
    • Difficult patient characteristics: Pain, Antalgia, Coughing, Tremor
    • Patient preparation difficulties: Boundaries, Gowning/Draping, Ascertaining Landmarks
    • Difficult personality types: Worried, Crabby, The “Engineer”
    • How to deal with rush orders

6-hour version includes Units 1-6.
4-hour version includes Units 1-4.

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