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Mhm. Yeah. Mhm. Oh, actually should we wait until, should we give it like five more minutes? Yeah. Yeah. Do I come off live then or do I just sit and put the powerpoint up? Oh, we can stay alive. Sorry. Stay alive. Yeah, I will pop the powerpoint on cause I can see myself on the other screen. Fine. Cool. So if people start appearing, they know what's happening. Good. Good. Right. Yes. If anyone is here, we're gonna give it a few more minutes to give people time to get here. Uh If that's ok, I'll give it to like three or four past and then we'll crack on. Um Yeah. Well that's on me. Two things going. Oh, got someone in the chat. Right? Perfect. Let's look at the chat. Can you please click on hide icon bottom at the bottom to remove the dropdown box? Oh, yeah. Nice point. Can do. Yes, cool. Yeah, I'll just give it like two or three more minutes and then we'll crack on. Yeah, one more minute and then we'll crack on. Ok, let go to three or four past and then we'll, we'll go for it. I keep looking this way because I've got the chats up on the side there. So otherwise I can't see it. Just one. It looks like I'm looking in that direction. Ok. I'll start gently talking and, uh, move slowly through it. So if people come, we won't start the real meat of it for another minute or two. So, hi, welcome back for people who've attended the other, the last two sessions and welcome to session three. We're moving on to uh musculoskeletal imaging, which we split into two. So we're doing upper limb this week and then the next session will be on lower limb. So we're covering everything from shoulder girdle down to hands. Um And M SK, so once again to introduce myself, hi, my name is Helen. I'm a um one of the surgical teaching fellows at Nottingham Hospital. And prior to doing this, I was a radiographer. So my interest is in radiology. So good. So as last time I try to keep these um with the same theme but covering different topics. Uh mostly looking at how to kind of focusing around how to verbally report your X rays um mostly in an osk style. But also if you had to read a report or um say describe it on the ward to one of the doctors if they asked you what was going on. Um And looking at this time for M SK, we're looking at the descriptive terms to how you can describe a fracture. So it's all very well if you can name it. So everything looks great for you to say, oh, it's a colleague's fracture. Fantastic. But if you can't or it's not an apo eponymously named Fracture, it's learning how to describe it using um the correct kind of radiological vocabulary and it's also the descriptive terms people be using in reports. So you'll be able to understand what the reports mean. Um same structure as last time, just building on that. And then I've got lots of practice x-rays we can go through, um, as before, there's a slightly assumed knowledge that you've probably done a little bit because I'm expecting most people the final years. Um But if I miss anything, go anything over, anything too fast or um you want to go over something I haven't covered, please just chuck it into the chat. Um And I can answer any questions or go back there. I can see it at all times. Cool. Exactly the same structures we've been doing every day this week. So these are your kind of uh aid memoir sentences to kind of remember and you use them the same for every single uh x-ray you come across and it kind of, it is to jog your memory of what to say next and we just work our way through them and this way it's uh you get all your marks cos they can tell you've got a lovely structure. You're systematic and hopefully you won't miss anything. Um We'll also be obviously going through how to describe it using all the lovely vocab correct vocabulary. Cool. And it's five pass. So let's get onto the meat of everything. So exactly the same as for our first ones, what you wanted to do is describe uh say what, what images you've been given. Um What the pitfall. A lot of people come across this time is they only say I've got uh wri wrist x-rays. You do need to name each of the projections in the same way. When we did chest, you're gonna say if it's an AP or a PA A, when you do an Abdo, you say it's supine. When you do M SK films, as I'm sure you will know you ideally need at least two pictures at 90 degrees to each other. So that's typically an AP and a lateral, which is what these first two images are. This is an ap of a wrist and a lateral of a wrist. You may also sometimes be given a third view which is called called oblique. I think you guys can see me in the picture. So ap this is technically a pa in absolute honesty, a risk is technically pa but don't get stressed about it. Everyone just calls it an AP it doesn't matter. Um because technically in your anatomical position, your, this is your posterior, this is your anterior. So if you took an image, you your own posterior anterior film. So it technically is pa pa a film, but I don't wanna confuse you all. So please feel free to just forget that and call an AP it's perfectly fine. Um So ap or pa lateral and then oblique is in the middle, you'll get those for wrists, hands will often do obliques, feet will often do obliques, ankles, you sometimes get an ap oblique in a lateral. So just be aware if you're given three films, that's how you name them and please do name each of them. Um I it I just remember loads of they just, yeah, it's where you can lose marks quite quickly if you don't, don't name them. So this is a ap lateral and oblique x-ray of a name the body part. And the reason I'm saying that is, are we all happy with how to side films? So if anyone's feeling brave, feel free to put in the chat, which side is this of the body? Um And then obviously know the body part. So this will be a wrist. It's where if you're wondering like thinking I was just a really bad hand. Um wherever the center of the uh film is, is the, it's the body part that's going for. So it's aimed over the wrist. So this is a wrist. Uh Anyone wanna hazard a guess about which side it is? No, it's OK. You don't have to um in real life, it should be labeled there. You should never have an X ray in real life, which isn't labeled. I'm assuming you guys can hear me considering there's something being written in the group chat. I'll assume someone would interrupt me if you can't hear me. Um Right side. Good guess. Yes, I had to, I took a minute there because I was trying to, yeah, forgot my own slides. Yes. Right. Perfect. Um How do you tell? So your hands are really nice and easy. So what you have to kind of do is put yourself into the, imagine that your hand is being taken and does it fit? So, x rays of the hands are quite easy because you can literally just put your hand up to the screen and does it do the thing and be like which hand actually fits onto it. So if you put your hand up now like this, it's your right hand which fit Yeah, I can tell my left and right, right hand which fits nicely on it. Um So that's kind of wrist and stuff if I don't have a particularly good other way of doing it apart from you've gotta imagine yourself in the position. Um If it's a leg or a wrist or something or a let's say elbow for argument's sake, you've gotta kind of imagine the way they shoot the x-ray and then kind of imagine yourself in that position. It's a little confusing. It sounds fine to say you should be labeled. But yeah, wrists are nice and easy. Just whack your hand up and see which one fits onto the screen really easy for hands and wrists. Um So yeah, uh it's a, forgive me, my left and right is really bad. It's a right. Um Cool, lovely. So this is a um pa oblique.