View Hand
As an X Ray Tech, would you adjust your technique?
As an X Ray Technologist, would you adjust your technique (if yes, what would you adjust and why?) if your requisition was an order for a ’3 View Hand R/O foreign body’ and the pt. gave you a history of: I injured my hand in a bicycle accident and I think there is a piece of wood in my palm.
I would ask the radiologist what he/she wanted me to do. If there is an injury, regularly penetrated x-rays might be important. If they are looking just for a piece of wood, under-penetrated tangental views might be helpful. If there was not a radiologist available, I would do a PA, oblique and lateral view of the hand, with adequate penetration, then include an under-penetrated tangental view. We are using ultrasound for possible foreign bodies, with pretty good success. Best wishes….
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