🟨Description
◽Plain chest x ray
◽PA view
◽Showing heterogenous white opacity occupying Rt and lt hemithorax (Glass ground appearance ) + Both costophrenic angles are clear

🟨DD
1_ Pulmonary edema
2_ ILD
3_ Bronchpneumonia
4_ Miliary TB

🟨Most likely DX
Pulmonary edema
علاش ؟؟
لان البياض متعه يتميز بانه يبدا من فوق من ال hilum و ينزل تحت ، و ال costophrenic angles تكون واضحة (تبان كويس)💬💡
🟨Next step
ABG
Measure pulmonary artery pressure
➡️if > 25 mm hg 👉 indicates Cardiogenic
ف تطلب على طول
ECG
Echo

➡️if < 18 mm hg 👉 indicates Non cardiogenic
(Sepsis, Truma , Burns , Pneumonia, Pancreatitis )
ف تطلب
CBC
ESR
CRP
Blood culture
Sputum culture
Urine culture
RFT
LFT

🟨Description
◽Plain chest x ray
◽PA view
◽Showing single homogenous white mass occupying the upper zone of the Rt hemithorax

🟨DD
1_Cancer 👉 Bronchogenic ca , lymphoma
2_ Infection 👉 Hydatid cyst , Aspergilloma
3_ Inflammation 👉 Wegner granulomatosis , Polyartritis nodosa

🟨Most likely Dx
Pancots tumer (Bronchogenic ca)

🟨Next step
Bronchoscopy and biopsy
CT scan (Chest + abdomen ) with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT

🟨Description
◽Plain chest x ray
◽PA view
◽Showing single cavitary mass occupying the lower zone of the Rt hemithorax with water lilly appearance (camalote sign)

🟨DD
1_ Infection 👉Hydatid cyst , TB , Fungal infection
2_ Cancer

🟨Most likely DX
Hydatid cyst
(B/C of 👉 Water lilly appearance )

🟨Next step
Chest CT scan

🟨Description
◽Plain chest x ray
◽PA view
◽Showing single liquifactive cavitary mass with air fluid level occupying the upper zone of the Rt hemithorax

🟨DD
1_ Infection 👉 Abscess, TB , Hydatid cyst,
Fungal infection
2_ Cancer

🟨Most likely DX
Abscess
(B/C of 👉 Air fluid level )💡💬

🟨Next step
Chest CT scan
Sputum C/S

مرات يسألك سوال تاني ، بال Examination شن ممكن تلقى عنده ؟
1_ Finger clubbing
2_ Halitosis

🟨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

هذا الكتاب مش عادي لل DD و ال Investigations لجزئية ال History

بالتوفيق.🌼🌼

السلام عليكم ورحمة الله وبركاته 🍀☁️

هذا كتاب هندي لل OSCE ، نظام سرده للمواضيع بطريقة check list
النص الأول تلقوا مواضيع ال Examination و النص التاني تلقوا مواضيع ال History

طبعاً طريقتهم في ال examination مختلفة علينا هلبا ، لكن ال history كاتبه بطريقة منظمة.


بالتوفيق.🌸