Jul 4, 2023 12:35
11 mos ago
22 viewers *
Spanish term

Técnica: AP. Pobre inspirada

Spanish to English Medical Medical: Cardiology
En un informe de radiografía de tórax, aparece la técnica utilizada (AP) y al lado dice Pobre inspirada.

¿A qué se refiere? No encuentro nada al respecto.

Muchas gracias!

Proposed translations

+6
19 mins
Selected

Tecnique: AP. Poor inspiratory effort

Poor inspiratory effort is equally important. Essentially, the problem is that with a poor inspiratory effort, the pulmonary vessels become more prominent and an erroneous diagnosis of cardiac failure (probably the single most common diagnostic error made by medical students on any chest radiograph) is all too easy.

The international standard for labelling a chest radiograph is that a PA (posteroanterior) standard film has no annotative marking on it. All other variations: anteroposterior (AP); the decubitus; supine, or semi erect are all so annotated for the reviewer's assistance. By definition the patients in this latter category are of increased infirmity and the diagnostic threshold can be challenging.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632825/

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Note added at 22 mins (2023-07-04 12:57:59 GMT)
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The erect anteroposterior chest view is an alternative to the PA view when the patient is too unwell to tolerate standing or leaving the bed 1. The AP view examines the lungs, bony thoracic cavity, mediastinum, and great vessels. This particular projection is often used frequently to aid diagnosis of acute and chronic conditions in intensive care units and wards. The AP view is of lesser quality than the PA view for many reasons, yet sometimes it is the only imaging available to that patient.

The phase of respiration has a profound effect on the appearance of several structures on the chest radiograph. A poor-inspiratory AP radiograph can mimic pathology. Structures that can appear different on expiration include:

https://radiopaedia.org/articles/chest-ap-erect-view-1

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Note added at 25 mins (2023-07-04 13:00:50 GMT)
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AP isn't a tecnique, it refers to the view. My answer should read 'AP (view). Poor respiratory effort'.

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Note added at 1 hr (2023-07-04 13:47:07 GMT)
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Oops! That should be 'technique'.
Peer comment(s):

agree Luis Augusto Borrego
34 mins
Thank you, Luis :-)
agree Gabriela Guevara
1 hr
Thank you, Gabriela :-)
agree Chema Nieto Castañón : "AP projection. Poor inspiratory effort." [UK: "incomplete inspiration"]. No parece necesario incluir el literal "técnica" en este caso; indudablemente se refiere a la proyección utilizada ("view").
2 hrs
Thank you, Chema. I didn't know that in the UK, 'pobre inspirada' is 'incomplete inspiration'. I've learnt something new today :-)
agree liz askew
2 hrs
Thank you, Liz :-)
agree neilmac
5 hrs
Cheers, Neil :-)
neutral Lirka : not entirely accurate - this is the cause ( pls see my answer for more details)
13 hrs
I'm no expert but I would expect the cause to appear in a different place?
agree Neil Ashby : This is the term of art
20 hrs
Neil, thank you!
Something went wrong...
4 KudoZ points awarded for this answer.
21 mins

AP=Anteroposterior/ RX sin mucha resolución

El nivel de inspiración es excelente para la Rx de tórax cuando por encima del diafragma es posible contar 10 costillas posteriores. - https://www.elsevier.es/es-revista-nursing-20-articulo-inter...


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Note added at 43 minutos (2023-07-04 13:18:34 GMT)
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Antero-posterior/ Low Resolution

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Note added at 57 minutos (2023-07-04 13:32:22 GMT)
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Ateroposterior, Poor inspiratory effort
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632825/#:~:tex...
Peer comment(s):

neutral Chema Nieto Castañón : Pobremente inspirada/pobre inspiración se refiere a ese poor inspiratory effort que señalas. La resolución no es lo relevante aquí; sí es una placa de baja calidad, pero secundaria específicamente a la ausencia de una inspiración completa del paciente.
3 hrs
Something went wrong...
13 hrs

Chest X-ray, AP erect: poorly inflated lungs

I don't agree with "poor inspiratory effort" as this is the CAUSE of "poorly inflated lungs" while a chest X-ray is taken. See the difference?
Other causes may be restrictive lung disease, atelectasis, etc.

https://medschool.co/tests/chest-xray/lung-inflation
Peer comment(s):

neutral Neil Ashby : This is not a standard term used in medical reports, Helena's answer is.
6 hrs
neutral liz askew : see: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632825/
12 hrs
Something went wrong...
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