Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
๐จDescription
โฝPlain chest x ray
โฝPA view
โฝShowing single homogenous white mass occupying the upper zone of the Rt hemithorax
๐จDD
1_Cancer ๐ Bronchogenic ca , lymphoma
2_ Infection ๐ Hydatid cyst , Aspergilloma
3_ Inflammation ๐ Wegner granulomatosis , Polyartritis nodosa
๐จMost likely Dx
Pancots tumer (Bronchogenic ca)
๐จNext step
Bronchoscopy and biopsy
CT scan (Chest + abdomen ) with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
โฝPlain chest x ray
โฝPA view
โฝShowing single homogenous white mass occupying the upper zone of the Rt hemithorax
๐จDD
1_Cancer ๐ Bronchogenic ca , lymphoma
2_ Infection ๐ Hydatid cyst , Aspergilloma
3_ Inflammation ๐ Wegner granulomatosis , Polyartritis nodosa
๐จMost likely Dx
Pancots tumer (Bronchogenic ca)
๐จNext step
Bronchoscopy and biopsy
CT scan (Chest + abdomen ) with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
โค3
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค3
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค3
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
๐จDescription
โฝErect abdominal x ray
โฝAP view
โฝShowing multiple air fluid level
๐จMost likely DX
IO (Intestinal obstruction )
๐จNext step
โก๏ธMedical TTT
NPO
IV fluids
Analgesics
Antibiotics
โก๏ธSurgical TTT
Resection and Anastomosis
โฝErect abdominal x ray
โฝAP view
โฝShowing multiple air fluid level
๐จMost likely DX
IO (Intestinal obstruction )
๐จNext step
โก๏ธMedical TTT
NPO
IV fluids
Analgesics
Antibiotics
โก๏ธSurgical TTT
Resection and Anastomosis
โค7
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
History taking by Dr. Doha Rawag .pdf
43.9 MB
โค3
Forwarded from Doha Ali Rawaq
Churchills_Pocketbook_of_Differential_Diagnosis,_4th_Edition_2014.pdf
3.5 MB
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
ูุฐุง ุงููุชุงุจ ู
ุด ุนุงุฏู ูู DD ู ุงู Investigations ูุฌุฒุฆูุฉ ุงู History
ุจุงูุชูููู.๐ผ๐ผ
ุจุงูุชูููู.๐ผ๐ผ
โค2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
ุงูุณูุงู
ุนูููู
ูุฑุญู
ุฉ ุงููู ูุจุฑูุงุชู ๐โ๏ธ
ูุฐุง ูุชุงุจ ููุฏู ูู OSCE ุ ูุธุงู ุณุฑุฏู ููู ูุงุถูุน ุจุทุฑููุฉ check list
ุงููุต ุงูุฃูู ุชูููุง ู ูุงุถูุน ุงู Examination ู ุงููุต ุงูุชุงูู ุชูููุง ู ูุงุถูุน ุงู History
ุทุจุนุงู ุทุฑููุชูู ูู ุงู examination ู ุฎุชููุฉ ุนูููุง ููุจุง ุ ููู ุงู history ูุงุชุจู ุจุทุฑููุฉ ู ูุธู ุฉ.
ุจุงูุชูููู.๐ธ
ูุฐุง ูุชุงุจ ููุฏู ูู OSCE ุ ูุธุงู ุณุฑุฏู ููู ูุงุถูุน ุจุทุฑููุฉ check list
ุงููุต ุงูุฃูู ุชูููุง ู ูุงุถูุน ุงู Examination ู ุงููุต ุงูุชุงูู ุชูููุง ู ูุงุถูุน ุงู History
ุทุจุนุงู ุทุฑููุชูู ูู ุงู examination ู ุฎุชููุฉ ุนูููุง ููุจุง ุ ููู ุงู history ูุงุชุจู ุจุทุฑููุฉ ู ูุธู ุฉ.
ุจุงูุชูููู.๐ธ
โค2