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