Paceman Verbal Critique Template j5c2e

PROJECTION What projection? This is a radiograph of a ___________ (AP/PA/Lateral/Oblique/etc,etc) projection of the _____________. Why? I say so because: 1. ______________________________________ 2. ______________________________________ POSITIONING Indicate patient’s positioning and show the proof. The positioning for this projection is ____________________ ( correct/ incorrect). This is because: 1. ____________________________________________ 2. ____________________________________________ Give suggestion on how to improve patient’s positioning To improve this, _______________ (rotate/tilt/etc, etc,etc) the ______ of the patient ______________ __________________________________________. ALIGNMENT Mention the alignment between the x-ray tube, patient/ structure and cassette. Is it ok or not? Give reasons. There are 3 components for alignment: 1. x-ray tube and cassette 2. patient/ structure and cassette 3. x-ray tube and patient/ structure The alignment between xrt and cassette _____________ (is correct/is incorrect/ cannot be determine) because ____________. (Evaluation is done by comparing the distance between the edges of collimation to the edges of film) The alignment between pt and cassette _____________ (is correct/ is incorrect/ cannot be determine) because ___________. (Evaluation is done by comparing the distance between the edges of film to the central structure) The alignment between xrt and pt. _____________ (is correct/ is incorrect/ cannot be determine) because ____________. ( Evaluation is done by comparing the distance between the edges of collimation to the central structure) The centering point for this radiograph is ________________. The standard centering point for this projection is ____________. COLLIMATION /RADIATION PROTECTION Collimation should be done to all four borders of the film and should include: At the superior border, structure(s) that should be included are/is ____________________. At both lateral borders, structure(s) that should be included are/is ____________________. At the inferior border, structure(s) that should be included are/is _____________________. There is ______ (evidence/no evidence) of radiation protection apparatus seen on the radiograph.

EXPOSURE FACTORS Comment on how kVp affects the radiographic contrast (State structures used for reference) The kVp used is _______ (adequate/ inadequate/ too much) for penetration and radiographic contrast. This is because the (bony cortical outline of) the THIN structure which is the __________________ ,_________ (can/cannot) be seen. And the (bony cortical outline of) the THICK structure which is the __________________ , _________ (can/ cannot) be seen. Comment on the identified structures’ details demonstrated related to mAs(State structures used for reference) The mAs used is ________(adequate/ inadequate/ too much) for detail and density. This is because the (bony trabecular pattern of ) the THIN structure which is the ______________, _______ (can/cannot) be seen. And the (bony trabecular pattern of ) the THICK structure which is the ______________, _______ (can/ cannot) be seen. Give suggestion to improve the image quality. The kVp must be _______ (increased/decreased) by 15 %. The mAs must be _______ (increased/decreased) by __________ %. MARKERS Is there any anatomical marker shown? Is it appropriately placed? There is ____ (evidence/ no evidence) of an anatomical marker shown in the radiograph, ________ (correctly/incorrectly) placed on the _______ (left/right/superior/inferior) side of the body and placed _________ (appropriately/inappropriately), __________ (superimposing/not superimposing) any region of interest. AESTHETIC The film size used is _______X______ cm which is __________ (sufficient/insufficient) to demonstrate all structures of interest. There is _____ (evidence/no evidence) of artifact on the radiograph ( which is ___________.) NAME Is there any system of patient’s identification? Is it legible? Is the identification and placing correct? The patient’s name and ID (or IC or (R/N)), date of examination, place of examination; are _______ (clearly visualized/ not clearly visualized/ not visualized) on the radiograph at the ________ (appropriate/inappropriate) area, and __________ (superimposed/not superimposed) with structures of interest. DIAGNOSTIC ACCEPTABILITY/ CONCLUSION The radiograph is ________ (acceptable/unacceptable), because ________________________ .