عيد أضحى مُبارك✨️

أعاده الله علينا وعليكم بالخير واليمن والبركات و حج بيته الحرام 🩵

كل سنة و انتو طيبين 🤍

ما شاء الله عليكم ، شبه الدفعة كلها خدت ال pass🏅👏

عقبال الأورال و الكلينك شدوا الهمة.✌️💪

السلام عليكم دكاترة✨️

البوستات الجاية كلها ح تكون على ال X ray ان شاء الله.

حاولوا تقروا الصورة بروحكم و بعدين اقروا الشرح اللي تحتها .

#X_Ray
#Radiology

🟨Description
◽ Plain chest x ray
◽ PA view
◽ Showing homogenous white opacity occupying the Lt hemithorax with deviation of the Trachea to the opposite side and obliterations of both costophrenic and cardiophrenic angles

🟨DD
1_ Massive pleural effusion
2_ Total lung collapse
3_ Pneumectomy

🟨Most likely Dx
Lt Massive pleural effusion

🟨Next step
CT scan
Thoracocetesis
CBC , CRP , LFT, RFT , Coagulation profile

🟨TTT
1_ Treat the underlying cause
2_ Therapeutic aspiration ( < 1.5 L)
3_ Chest tube
4_ Pleurodesis using Talc or Tetracycline (if the cause is malignancy)

🟨Description
◽ Plain chest x ray
◽ PA veiw
◽ Showing homogenous white opacity occupying the Rt hemithorax with deviation of the Trachea to the same side .

🟨DD
1_ Total lung collapse
2_ Pneumectomy
3_ Massive pleural effusion

🟨Most_likely_DX ?
Rt Total lung collapse
Rt Pneumectomy

كيف تفرق بيناتهم ؟
بال EXAMINATION
لو لقيت scar معناها Pneumectomy
لو مافيش scar معناها Total lung collapse

🟨Next Step?
Bronchoscopy

🟨Description
◽ Plain chest x ray
◽ PA view
◽ Showing homogenous white opacity occupying the upper zone of the Rt lung.

🟨DD
1_ lober pneumonia
2_ lobectomy
3_ lobe collapse

🟨Most likely DX
Rt Upper Lobar Pneumonia
(B/C the Trachea is centralized)💬💡

بالنسبة لل collapse و ال lobecomy تلقوها Deviated to the same side 💬💡

🟨Next step
CBC
ESR
CRP
Sputum culture
Urine culture
Blood culture
ABG

🟨Description
◽Plain chest x ray
◽ PA view
◽Showing Segmental (Wedge Shaped) homogenous white opacity occupying the Middle and lower zones of the Rt hemithorax .

🟨DD
1_ Pulmonary infarction
2_ Lobar pneumonia
3_ Lobecomy
4_ Mild pleural effusion

🟨Most likely Dx
Rt lower lobe Pulmonary infarction
(B/C👉 it's wedged shaped )💡💬

🟨Next step
D.Dimer
HRCT ( CT of Pulmonary a with contrast)
V,Q scan
Pulmonary angiography
ECG
ABG

🟨Description
◽ Plain chest x ray
◽ PA view
◽ Showing homogenous white opacity occupying the upper zone of the lt hemithorax with deviations of Thracea to the same side.

🟨DD
1_ Lobe collapse
2_ Lobecomy
3_ Lobar pneumonia

🟨Most likely DD
Lobe collapse
Lobectomy
(B/C the Trachea is deviated to the same side )💬💡
كيف تفرقوا بينهم ؟
👇
1_ ركزوا على ال lung lower borders في حالة ال Lobecomy حتلقوا فيه اختلاف كبير في ال level بين الجهة اليمين و اليسار.

🟨Most likely DX
Lt upper lobe collapse

🟨Next step
Bronchoscopy