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38 Cards in this Set
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- Back
- 3rd side (hint)
Radiographic Eval of MS
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Systematic Approach
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Positionfilmsinstandardorientation
Evaluateallstructuresonall views Determineifthefindingisnormal Canalwaysradiographcontralaterallimb RadiographicFindings RadiographicDiagnosis |
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Radiographic Signs
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Size
Shape Symmetry Margination Alignment Location Opacity |
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imaging modalities
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Radiology
Ultrasound Nuclearmedicine ComputedTomography(CT) Magneticresonanceimaging(MRI) |
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terminology
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Skull
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Complexstructure
Larynx,pharynx Nasalcavity Paranasal sinuses Gutturalpouches Bones |
Mandible,maxilla,frontal,nasal
Calvaria:Occipital,sphenoid,ethmoid,parietal Orbit FacialCrest:Frontal,zygomatic,maxilla |
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Radiographic views
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Radiographsfocusedonareaofinterest
Lateral(Lateromedial) DVorVD(Dorsoventral orventrodorsal) Oblique RDLVO LDRVO Specialviews Temporohyoid articulation Temporomandibular joints |
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Rostral head
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Malocclusion
Polydontia Oligodontia Tumorsofdentalorigin Cysts Toothrootinfection Abnormaltootheruption Fractures |
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Dental Formula
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Horse
Deciduous 2(I3/3C0/0P3/3)=24 Permanent 2(I3/3C1(0)/1(0)P3(4)/3M3/3)=3642 Ruminant Deciduous 2(I0/4P3/3) Permanent 2(I0/4P3/3M3/3 |
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Brachygnathism
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maxilla extends
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Prognathism
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mandible extends
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Fourpremolars
(PM) Threemolars(M) Cheekteeth PM24andM13 PM1“wolftooth” |
thin septum of alveolar bone
seperates maxillary teeth from maxillary sinus |
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VD view
nasal septum narrow base of mandible diaphysis, between incisors and premolars |
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Deciduous teeth
-dental caps |
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Eruption Cysts
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4th mandibular premolar
persistent dental cap, ventral dilation, enlargement of alveolar bone smoothly marginated thin opaque bone benign process, distortion/conformation changes remodel over time |
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Eruption cyst
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lamina dura develops cystic and distended appearance as tooth erupts
smooth and well defined |
very opaque white line adjacent to periodontal ligament
thin rim of white bone becomes distended with cyst |
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Tooth root abscess
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Lossoflaminadura detail
Lysis ofperiapical bone Sclerosisofsurroundingbone Destructionoftheapexofthetoothroot |
Maxilla
Secondarysinusitis (esp maxillary sinuse) Mandible Periostitis (bone rxn) Distortion/thickeningofcortex Drainingtract Softtissueswelling |
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Tooth Root Abscess
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loss of lamina dura
lysis of periapical bone roots are not distinct draining tract sclerosis thickened cortex |
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uneven wear
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nasal cavity and paranasal sinuses
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Conchofrontal
*Indirectlynasalcavity(viacaudalmaxillarysinus) Directlycaudalmaxillarysinus(frontomaxillary) Caudalmaxillary Overliemaxillarymolars Rostralmaxillary Overliemaxillarymolarandpremolar Obliqueseptumbetweenmaxillarysinuses Sphenopalatine Caudalmaxillarysinus Infrequentlywiththeventralnasalmeatus Nasalcavity Nasomaxillary openingbothmaxillarysinuses Ventralanddorsalmeatus |
Fractures
Primarysinusitis Dentaldiseaseand secondarysinusitis Dentigerous cysts Maxillarysinuscysts Ethmoid hematomas Neoplasia Nasalpolyps |
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maxillary sinusitis
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Respiratory tract dz
tooth root abscess sinus cysts tumors/masses lateral view: look at fluid lines, rostral and caudal maxiallary sinus gas cap |
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paranasal sinus cyst
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increased soft tissue opacity within the right maxillary sinues
soft tissue opacity extending into the right nasal cavity less gass, loss of delineation, protrusion into cavity left deviation into septum |
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maxillary sinus cyst
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gas filled structure, with soft tissue opacity mass near turbinates
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Ethmoid hematoma
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originating from lining of ethmoid conchase
unknown cause |
unilateral epistaxis
fluid in sinus, especially if extends into maxillarya nd conchofrontal sinus soft tissue opacity withing the nasal cavity/maxillary sinuses |
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ethmoid hematoma
LVRDO view |
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VD view
large soft tissue mass extending into cavity right maxillary sinus |
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guttural pouches
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eustachian tube diverticula
medial (larger) and lateral stylohyoid bone CN VII, IX, X, XI, XII cranial sympathetic trunk internal carotid artery branches of the external carotid artery |
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guttural pouches
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mycosis
empyema chondroids (concretion of pus/purulent material) hemorrhage (secondary to trauma) tympany (gas distention over pouches) masses external structures/masses |
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fluid line in guttural pouch
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guttural pouch empyema
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retropharyngeal lymph node
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epiglottis
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epiglottitis
epiglottic entrapment DDSP subepiglottic cysts artenoid chondritis |
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epiglottic entrapment
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arytenoid chondritis
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pharyngeal mass
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Incisors:
deciduous: Permanent: |
6 days, 6 weeks, 6 months
2.5 y, 3.5 y, 4.5 y |
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Cheek Teeth:
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PM2-4
M 1-3 wolf tooth? |
PM1
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maxillary sinuses:
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Rostral maxillary sinus:
Caudal maxillary sinus: |
PM4 and M1(M2)
(M2) M3 |
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Guttural Pouches
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Medial compartment larger than lateral
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