🟨Description
◽Plain chest x ray
◽PA view
◽Showing air under diaphragm

🟨DD
1_ Perforated viscus
2_ Post_surgery
3_ Post_Truma (Stab wound)

🟨Most likely DX
Perforated viscus

🟨Next step
➡️Stabilize the pt 👉 ABC / IV fluids , Antibiotics
➡️Send investigations
CBC
ESR
CRP
RFT
Blood group, Cross match
➡️Imaging
Abdominal CT scan with contrast

🟨Description
◽Erect abdominal x ray
◽AP view
◽Showing multiple air fluid level

🟨Most likely DX
IO (Intestinal obstruction )

🟨Next step
➡️Medical TTT
NPO
IV fluids
Analgesics
Antibiotics

➡️Surgical TTT
Resection and Anastomosis

و هادي اغلب و اهم مواضيع ال X ray اللي مطالبين بيهم

ان شاء الله بالتوفيق. 🌸🌸🌸🌸

طبعاً ال Most common cause of 2ry causes is Metabolic 💡

لذلك اي pt admitted as a case with convlusion لازم نبعته👇
Ca
Phosphorus
Mg
Na
K
RBS

GIT SMASHED

Bells palsy

⚀Description
◽Palin chest x ray
◽PA view
◽Showing wide spread small (2-4mm) nodular opacities distributed throughout both lungs. 

⚀DD
1_Miliary TB
2_ Bronchpneumonia
3_ lung Metastasis
2_ILD

⚀Most likely DX
Miliary TB

⚀Next step
Sputum C/S
Quantiferon test

⚀Description
◽Plain chest x ray
◽PA view
◽Showing markedly enlarged cardiac silhouette ,There is a double contour to the right heart border and splaying of the carina. 

⚀Most likely DX
Cardiomegally

⚀Next step
ECG
Echo