03 examinare pulmonara (1)

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    Imagistica aparatuluiImagistica aparatului

    respiratorrespirator

    A SantaA Santa

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    Metode de investigareMetode de investigare

    Radiografa simplaRadiografa simpla

    Tomografa planaTomografa plana

    MRFMRF

    RadioscopiaRadioscopia

    UltrasonografaUltrasonografa

    CTCT

    IRMIRM

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    RadiografaRadiografa

    ++ Rapida, usor deRapida, usor de

    efectuatefectuat

    Bogata in dateBogata in date

    Rezolutie bunaRezolutie buna

    Iradiere minimaIradiere minima

    Incidente AP si LLIncidente AP si LL

    -- Sumatie de planuriSumatie de planuri

    Mai slabaMai slaba

    evidentiereevidentiere

    mediastinalamediastinala

    StructuraStructura

    opacitatilor nuopacitatilor nu

    poate poate diferentiata !soliddiferentiata !solid

    vs lic"id#vs lic"id#

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    RadioprotectieRadioprotectie

    Expunere dupa paravan de protectieExpunere dupa paravan de protectiesau din camera invecinatasau din camera invecinata

    Apartinatori sau personal neexpusApartinatori sau personal neexpusproesionalproesional

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    Imaginea radiologicaImaginea radiologica

    ContinatorContinator

    ContinutContinut

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    RadioscopiaRadioscopia

    ++ $isocierea$isocierea

    planurilorplanurilor

    %imp real%imp real

    !e&cursii!e&cursii

    diafragmatice,diafragmatice,

    motilitatemotilitate

    toracala#toracala#

    -- IradiantaIradianta

    Rezolutie scazutaRezolutie scazuta $urata crescuta$urata crescuta

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    RadioprotectieRadioprotectie

    Eectuata de radiologEectuata de radiolog

    Asistentul de radiologie sta aaraAsistentul de radiologie sta aara

    Apartinatori! neexpusi proesionalApartinatori! neexpusi proesional

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    Tomografa planaTomografa plana

    FunctionareFunctionare

    Calitate mediocraCalitate mediocra

    Iradiere mareIradiere mare

    Rar olosita a"i #CT$Rar olosita a"i #CT$

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    MRFMRF

    Inca utili"ata in screeningInca utili"ata in screening

    %ecorespun"atoare diagnostic%ecorespun"atoare diagnostic

    IradiantaIradianta

    Inter"isa in lumea civili"ata&Inter"isa in lumea civili"ata&

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    Computer'TomografaComputer'Tomografa

    ++ RezolutieRezolutie

    e&celentae&celenta

    Buna disociere aBuna disociere a

    planurilorplanurilor

    $ensitati absolute$ensitati absolute

    !solid, lic"id,!solid, lic"id,

    lipidic#lipidic#

    'R(%'R(%

    (ontrast i)v(ontrast i)v

    -- Iradiere mareIradiere mare

    Pret marePret mare $urata !clasic vs$urata !clasic vs

    spiral#spiral#

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    RadioprotectieRadioprotectie

    Comanda din camera alaturataComanda din camera alaturata

    Contrast administrat cu in(ectomatContrast administrat cu in(ectomat

    cu telecomanda din aaracu telecomanda din aara

    Apartinatori! personal nexpusApartinatori! personal nexpusproesionalproesional

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    Examinarea nativaExaminarea nativa

    )acient in decu*it dorsal)acient in decu*it dorsal

    )o"itionare cu miinile su* cap)o"itionare cu miinile su* cap

    Respiratie in inspirRespiratie in inspir

    Evaluare pina la suprarenaleEvaluare pina la suprarenale

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    Examinarea cu contrast i+v+Examinarea cu contrast i+v+

    A*ord venosA*ord venos In(ectare #,-- ml! ,!.'/ml0sec$In(ectare #,-- ml! ,!.'/ml0sec$ Su*stante de contrast #ionice! non'ionice!Su*stante de contrast #ionice! non'ionice!

    1ipoosmolare! i"oosmolare$1ipoosmolare! i"oosmolare$

    Concentratie 2--02.-023- mg I0mlConcentratie 2--02.-023- mg I0ml Ionice4 Urografn! 5distonIonice4 Urografn! 5diston %on'ionice4 Ultravist! Iopamiro! 5mnipa6ue!%on'ionice4 Ultravist! Iopamiro! 5mnipa6ue! I"oosmolare4 7isipa6ue! IsovistI"oosmolare4 7isipa6ue! Isovist

    Cateter perieric vs centralCateter perieric vs central Reactii la contrast #usoare! medii! grave$Reactii la contrast #usoare! medii! grave$ Trusa antisoc #8S8C! adrenalina! atropina!Trusa antisoc #8S8C! adrenalina! atropina!

    plasma expanderi! Ca!$plasma expanderi! Ca!$ )remedicatie)remedicatie

    %U testare&%U testare&

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    UltrasonografaUltrasonografa

    %u penetrea"a aerul%u penetrea"a aerul

    %umai pentru pleura sau patologie%umai pentru pleura sau patologie

    parietalaparietala Fara pregatire specialaFara pregatire speciala

    Fara contraindicatii sau riscuriFara contraindicatii sau riscuri

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    IRMIRM

    )erormanta redusa in ex pulmonara)erormanta redusa in ex pulmonara

    Mediastin! cordMediastin! cord

    Rar utili"ataRar utili"ata

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    Sindroamele pulmonareSindroamele pulmonare

    PneumonicPneumonic

    PleuralPleural

    InterstitialInterstitial MasaMasa

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