๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing single cavitary mass occupying the lower zone of the Rt hemithorax with water lilly appearance (camalote sign)
๐จDD
1_ Infection ๐Hydatid cyst , TB , Fungal infection
2_ Cancer
๐จMost likely DX
Hydatid cyst
(B/C of ๐ Water lilly appearance )
๐จNext step
Chest CT scan
โฝPlain chest x ray
โฝPA view
โฝShowing single cavitary mass occupying the lower zone of the Rt hemithorax with water lilly appearance (camalote sign)
๐จDD
1_ Infection ๐Hydatid cyst , TB , Fungal infection
2_ Cancer
๐จMost likely DX
Hydatid cyst
(B/C of ๐ Water lilly appearance )
๐จNext step
Chest CT scan
๐3โค2
๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing single liquifactive cavitary mass with air fluid level occupying the upper zone of the Rt hemithorax
๐จDD
1_ Infection ๐ Abscess, TB , Hydatid cyst,
Fungal infection
2_ Cancer
๐จMost likely DX
Abscess
(B/C of ๐ Air fluid level )๐ก๐ฌ
๐จNext step
Chest CT scan
Sputum C/S
ู ุฑุงุช ูุณุฃูู ุณูุงู ุชุงูู ุ ุจุงู Examination ุดู ู ู ูู ุชููู ุนูุฏู ุ
1_ Finger clubbing
2_ Halitosis
โฝPlain chest x ray
โฝPA view
โฝShowing single liquifactive cavitary mass with air fluid level occupying the upper zone of the Rt hemithorax
๐จDD
1_ Infection ๐ Abscess, TB , Hydatid cyst,
Fungal infection
2_ Cancer
๐จMost likely DX
Abscess
(B/C of ๐ Air fluid level )๐ก๐ฌ
๐จNext step
Chest CT scan
Sputum C/S
ู ุฑุงุช ูุณุฃูู ุณูุงู ุชุงูู ุ ุจุงู Examination ุดู ู ู ูู ุชููู ุนูุฏู ุ
1_ Finger clubbing
2_ Halitosis
โค3๐2
The water-lily sign, also known as the camalote sign, is seen in hydatid infections when there is detachment of the endocyst membrane which results in floating membranes within the pericyst .
ู ุชุดููููุง ุญุชู ุจุงู abd US ุ Chest
CT ุ MRI
ู ุชุดููููุง ุญุชู ุจุงู abd US ุ Chest
CT ุ MRI
๐4๐3
๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing multiple white homogenous lesions (Giving Cannon ball appearance) occupying both Rt and lt hemithorax
๐จDD
1_ Cancer / lung Metastasis
2_ Inflammation/ Wegner granulomatosis, RA nodules
๐จMost likely DX
Lung Metastasis
๐จNext step
Brochoscopy and lung biopsy
Chest CT scan
CT abdomen and pelvis with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
โฝPlain chest x ray
โฝPA view
โฝShowing multiple white homogenous lesions (Giving Cannon ball appearance) occupying both Rt and lt hemithorax
๐จDD
1_ Cancer / lung Metastasis
2_ Inflammation/ Wegner granulomatosis, RA nodules
๐จMost likely DX
Lung Metastasis
๐จNext step
Brochoscopy and lung biopsy
Chest CT scan
CT abdomen and pelvis with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
๐2๐1
๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing oval shaped white opacity at the hilum of both Rt and lt hemithorax.
๐จDD
1_Sarcidosis
2_Fungal infection
3_Viral infection
4_Bacterial infection / Mycoplasma
๐จMost likely DX
Sarcidosis
๐จNext step
PFT
ABG
CBC
HRCT
BAL
Lung biopsy
โฝPlain chest x ray
โฝPA view
โฝShowing oval shaped white opacity at the hilum of both Rt and lt hemithorax.
๐จDD
1_Sarcidosis
2_Fungal infection
3_Viral infection
4_Bacterial infection / Mycoplasma
๐จMost likely DX
Sarcidosis
๐จNext step
PFT
ABG
CBC
HRCT
BAL
Lung biopsy
โค3๐2
๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing air under diaphragm
๐จDD
1_ Perforated viscus
2_ Post_surgery
3_ Post_Truma (Stab wound)
๐จMost likely DX
Perforated viscus
๐จNext step
โก๏ธStabilize the pt ๐ ABC / IV fluids , Antibiotics
โก๏ธSend investigations
CBC
ESR
CRP
RFT
Blood group, Cross match
โก๏ธImaging
Abdominal CT scan with contrast
โฝPlain chest x ray
โฝPA view
โฝShowing air under diaphragm
๐จDD
1_ Perforated viscus
2_ Post_surgery
3_ Post_Truma (Stab wound)
๐จMost likely DX
Perforated viscus
๐จNext step
โก๏ธStabilize the pt ๐ ABC / IV fluids , Antibiotics
โก๏ธSend investigations
CBC
ESR
CRP
RFT
Blood group, Cross match
โก๏ธImaging
Abdominal CT scan with contrast
๐ฅฐ4๐1
ู ูุงุฏู ุงุบูุจ ู ุงูู
ู
ูุงุถูุน ุงู X ray ุงููู ู
ุทุงูุจูู ุจููู
ุงู ุดุงุก ุงููู ุจุงูุชูููู. ๐ธ๐ธ๐ธ๐ธ
ุงู ุดุงุก ุงููู ุจุงูุชูููู. ๐ธ๐ธ๐ธ๐ธ
โค11๐ฅฐ1
ุงูุณูุงู
ุนูููู
ุฏูุงุชุฑุฉ ๐ธ๐ธ
ุดู ุชุจูุง ูุนุทููู ุจุนุฏ ุงู xray
ุดู ุชุจูุง ูุนุทููู ุจุนุฏ ุงู xray
Anonymous Poll
60%
ECG
19%
Emergency
11%
Instrument
10%
ูุญููุง ุฃุณุฆูุฉ
โค3๐1