Question 1:

 

 

a. What line or tube can be seen on this chest radiograph ?

 

A nasogastric tube

 

b. What position should the line or tube be in ?

 

The tip of the tube should lie in the stomach i.e. it should be seen below the left hemidiaphragm

 

c. Is it in the correct position ?

 

No. The nasogastric tube has passed in to the right main bronchus

 

d. What other, non radiological test is used to determine the position of this line or tube ?

 

Aspirate and test for acidity

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Question 2:

 

 

a. What line or tube can be seen on this chest radiograph ?

 

An endotracheal tube

 

b. What position should the line or tube be in ?

 

Just above the carina

 

c. Where does the line or tube shown on this radiograph lie ?

 

It is in a correct position - just above the carina

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Question 3:

 

 

a. What line or tube can be seen on this chest radiograph ?

 

A right sided chest drain

 

b. Where should the tip of the line or tube lie ?

 

In the pleural cavity / space

 

c. Where does the line or tube shown on this radiograph lie ?

 

In the subcutaneous tissues

 

d. Why has the line or tube been inserted ?

 

To treat a right pneumothorax

 

e. What other radiological procedure is occasionally used to help position the tube in the correctly ?

 

Ultrasound is sometimes used to assist with the insertion of chest drains

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Question 4:

 

 

a. What line or tube can be seen on this chest radiograph ?

 

A left sided PICC line ( or long line / central venous catheter)

 

b. What position should the line or tube be in ?

 

The tip should lie at the junction of the SVC and right atrium

 

c. Where does the line or tube shown on this radiograph lie ?

 

It has passed in to the right subclavian or internal jugular vein

 

d. In what clinical situation are these types of line or catheter commonly used ?

 

Oncology patients often have PICC lines for the administration of chemotherapy

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