radiologia pulmonar
DESCRIPTION
RADIOLOGIA PULMONAR. PROFº ANDRE LUIZ LOPES DE OLIVEIRA PROFª ARETUSA ARCANJO PROFª WALKIRIA SHIMOYA BITTENCOURT. ANATOMIA. árvore brônquica. http://www.med.yale.edu/intmed/cardio/imaging/anatomy/lungs/graphics/unlabelled.gif. segmentação brônquica. - PowerPoint PPT PresentationTRANSCRIPT
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PROFº ANDRE LUIZ LOPES DE OLIVEIRA PROFª ARETUSA ARCANJO PROFª WALKIRIA SHIMOYA BITTENCOURT
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http://www.med.yale.edu/intmed/cardio/imaging/anatomy/lungs/graphics/unlabelled.gif
árvore brônquica
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http://www.healthsci.utas.edu.au/anatomy/pat__kerrisk/lectures/lecture_5_resp_system/sld016.htmhttp://www.healthsci.utas.edu.au/anatomy/pat__kerrisk/lectures/lecture_5_resp_system/sld016.htm
segmentação brônquica
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http://www.healthsci.utas.edu.au/anatomy/pat__kerrisk/lectures/lecture_5_resp_system/sld022.htmhttp://www.healthsci.utas.edu.au/anatomy/pat__kerrisk/lectures/lecture_5_resp_system/sld022.htm
segmentação pulmonar
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http://www.med.umich.edu/lrc/coursepages/M1/anatomy/html/surface/thorax/pulmonary.html
projeção anterior projeção posterior
projeção lateral direita projeção lateral esquerda
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Posicionar o exame da forma correta seguindo as normas universais.
Observar a qualidade da imagem;
Observar a simetria das estruturas;
Fazer analise comparativa dos campos pulmonares;
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Deve estar localizada do lado direito do paciente
Deve estar posicionado no negatoscopio do lado esquerdo.
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Penetração
Hipotransparente
Hipertransparente
Normal
Insuflação
Expirado
Hiperinsuflado
Normal
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Básicas PA Perfil AP
Complementares Ápico-lordóticas Decúbito horizontal com raios
horizontais Oblíquas
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Quando o paciente não consegue ficar na posição ortostática;
Magnificação do coração;
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Crianças pequenas
Acamados
Pacientes debilitados
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Sempre solicitada Realizada juntamente com PA
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PERFIL: Estudar espaço retroesternal e retrocardíaco Visualizar seios costofrenicos anteriores e
posteriores Identificar topografia das lesões Avaliar o diafragma
OBLÍQUAS: Estudo dos arcos costais Melhor localização ou caracterização de lesões
parcialmente encobertas por outras estruturas
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ÁPICO-LORDÓTICAS Estudo dos ápices pulmonares Estudo dos lobos medio e lingula
INCIDENCIA LAURELL Pesquisa de liquido na cavidade pleural
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Laurell
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Ápico-lordótica
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De fora para dentro:
Tecidos moles Gradil costal Área pulmonar Mediastino Área cardíaca
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TRAQUEIA
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TRAQUEIA
HILOS
HILOS
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SEIO CARDIOFRENIC
O
SEIO COSTOFRENICO
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TRAMA VASCULAR
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Seio costofrênico Seio cardiofrênico
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Apenas visualizações das imagens e avaliação radiológica não são capazes de definir o diagnóstico.
Diagnóstico é definido sempre associando-se o quadro clínico, ao exame físico e aos demais exames complementares.
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NACIF, M.S.;FREITAS, L.O. Radiologia prática: para estudante de medicina.2v.ed. Revinter, Rio de Janeiro, 2003.
PRYOR, J.A.; WEBBER, B.A. Fisioterapia para problemas respiratórios e cardíacos. Rio de Janeiro: Guanabara e Koogan, 2002.
SARMENTO, G.J.V. O ABC da Fisioterapia Respiratória.São Paulo: Manole, 2009.
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