Chest X-Ray

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Optimises room lighting
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1

Verifies patient details (name, date of birth, hospital number)
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1

Checks the position markers and whether film is AP or PA
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1

Assesses the penetration of the film. Assesses the rotation and inspiration of the patient
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1

Determines if the trachea is central or deviated
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1

Looks at the mediastinal structures for any deviation, masses, dilation or neoplasms
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1

Looks at the hila for enlargement or deviation (left should be higher)
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1

Comments on the size of the heart
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1

Looks at the lungs paying particular attention at the borders and behind the heart
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1

Looks at the diaphragm paying particular attention to the diaphragmatic angles and air underneath
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1

Looks at the surrounding soft tissue for any lesions
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1

Examines the bones for fractures or lesions, artefacts
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1

Summarises the findings
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1

Offers appropriate differential diagnoses
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1

Examiner global score: confidence, methodical and proficient
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1
2