Two identical abdominal radiographs of a patient with toxic megacolon. The transverse colon is dilated to >6 cm diameter. There are multiple small lobulated masses in the lumen in keeping with inflammatory pseudopolyps, and there is evidence of bowel wall thickening. There is also loss of the normal faecal matter within the large bowel.
The right radiograph shows the areas of clearly abnormal large bowel marked in green and the thickened bowel wall and inflammatory pseudopolyps marked in light green.
The right radiograph shows the areas of clearly abnormal large bowel marked in green and the thickened bowel wall and inflammatory pseudopolyps marked in light green.
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(a)
This is a PA chest radiograph of Mrs MB, taken on 29 August 2011.
The film is not rotated and there is adequate inspiration.
A: The trachea is central.
B: The lungs are uniformly expanded and the lung fields are clear.
C: The heart size is normal. There is no mediastinal shift. The mediastinal contours and hila appear normal.
D: There is a fracture - dislocation of the left clavicle (marked by a white circle).
E: There is no evidence of air under the diaphragm, surgical emphysema or any foreign body.
In summary, this is an abnormal chest radiograph showing a fracture - dislocation of the left clavicle.
(b)
The management is usually conservative with use of a ‘ collar and cuff ’ or similar support to take the weight of the arm off the clavicle.
(c)
Pneumothorax.
This is a PA chest radiograph of Mrs MB, taken on 29 August 2011.
The film is not rotated and there is adequate inspiration.
A: The trachea is central.
B: The lungs are uniformly expanded and the lung fields are clear.
C: The heart size is normal. There is no mediastinal shift. The mediastinal contours and hila appear normal.
D: There is a fracture - dislocation of the left clavicle (marked by a white circle).
E: There is no evidence of air under the diaphragm, surgical emphysema or any foreign body.
In summary, this is an abnormal chest radiograph showing a fracture - dislocation of the left clavicle.
(b)
The management is usually conservative with use of a ‘ collar and cuff ’ or similar support to take the weight of the arm off the clavicle.
(c)
Pneumothorax.
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اشعة🩻❤️ / اكاديمية البيت الطبي 🩺💊
(a) This is a PA chest radiograph of Mrs MB, taken on 29 August 2011. The film is not rotated and there is adequate inspiration. A: The trachea is central. B: The lungs are uniformly expanded and the lung fields are clear. C: The heart size is normal. There…
الخطوات اهم شي
A
B
C
D
E
حتى متنسون شي🔥
A
B
C
D
E
حتى متنسون شي🔥
Tracheal displacement
No patient rotation - the spinous processes (red line) are central between the medial clavicles (blue lines)
Trachea (asterisk) shifted to the left of the midline
Soft tissue mass mainly to the right of the trachea
Diagnosis
Mediastinal thyroid enlargement
The patient had a CT scan - see below
No patient rotation - the spinous processes (red line) are central between the medial clavicles (blue lines)
Trachea (asterisk) shifted to the left of the midline
Soft tissue mass mainly to the right of the trachea
Diagnosis
Mediastinal thyroid enlargement
The patient had a CT scan - see below
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Forwarded from كيسات باطنية 🩺 / اكاديمية البيت الطبي 🩺💊
كيسات باطنية 🩺 / اكاديمية البيت الطبي 🩺💊
Tamken's Core Emergency Care -2.pdf
كل عام وانتم بالف خير
بمناسبة يوم الطبيب
دمتم و دام عطائكم
هذا الكتاب الخاص بالطوارئ بالاشتراك مع الاستاذ القدير المعطاء نصرت العطار
هو هدية لكل ابطال الجيش الأبيض المقيمين الدوريين و الاقدمين و على حسب الكايدلاينز
المصادر جميعها مذكورة بنهاية الكتاب .
تحياتي لكم جميعا
بمناسبة يوم الطبيب
دمتم و دام عطائكم
هذا الكتاب الخاص بالطوارئ بالاشتراك مع الاستاذ القدير المعطاء نصرت العطار
هو هدية لكل ابطال الجيش الأبيض المقيمين الدوريين و الاقدمين و على حسب الكايدلاينز
المصادر جميعها مذكورة بنهاية الكتاب .
تحياتي لكم جميعا
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