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EM Clerkship

How to Interpret a Chest X-Ray

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 11 December 2016

⏱️ 9 minutes

🧾️ Download transcript

Summary

A-B-C-D-E-F-G Two Types of X-Rays Anterior-Posterior (“AP”) Classic “portable” xray The beam shoots from in front of the patient (anterior) TO The plate sitting behind the patient (posterior) Posterior-Anterior (“PA”) Requires trip to radiology Results in a better picture The beam shoots from behind the patient (posterior) TO The plate sitting in front of the […]

Transcript

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0:00.0

Hello, med students. My name is Zach Olson and thank you for downloading this episode of the EM Clerkship Podcast.

0:13.0

I got an email a while back from a student and she wrote, Hey, Zach, sometimes I feel unprepared when it comes to looking at imaging.

0:21.6

I know it's difficult to summarize without visuals, but I was wondering if you could share some

0:26.2

tips that will help us look like rock stars. Also, love your podcast. I feel like I'm already

0:32.8

doing so much better on this rotation compared to the last one after listening, Alex.

0:38.0

Well, thanks for the email, Alex, and again, sorry too.

0:41.2

We were in this whole trauma series, so it's been a couple months since you wrote me this,

0:44.9

but I haven't forgotten about you.

0:47.0

You are not alone.

0:48.8

You're definitely not alone when it comes to having some difficulty understanding how to analyze images.

0:56.1

Looking at this stuff isn't easy.

0:58.0

It wasn't easy for me.

0:59.1

I don't think it's easy for anyone.

1:00.2

I think part of the reason is because at a lot of the places where we're training,

1:03.7

we have radiology residents and radiology fellows and radiology everybody.

1:08.3

And so we get reads on all of our images.

1:12.1

And we don't necessarily, we aren't forced to read them ourselves.

1:14.9

And I think that's part of the reason why people just in general having more difficulty with this now,

1:20.5

compared to our attendings way back in the day when they had to do all their own image interpretation.

1:25.8

But my advice for you is focus on learning how to interpret a chest x-ray, because by far, the chest x-ray is the most important image study that you're going to be expected to interpret as a student.

1:41.0

You might get asked about some other stuff.

1:42.6

Someone might show you a head CT or something,

...

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