How to read pelvic x-rays chapter written by Sara Nikolić and Gregor Prosen from Slovenia is just uploaded to the Website!
Pelvic X-ray interpretation
Category: Imaging Modalities
Head CT Interpretation – No Worries!
Chest X-ray Interpretation, No Worries!
How to read a chest x-ray chapter written by Ozlem Koksal from Turkey is just uploaded to the Website! For pathologic images, please visit our Flickr channel – Chest Images and Videos Album.
What is your next action?
In case you didn’t encounter an elderly with chest discomfort today!
A 78-year-old male patient presented with chest discomfort and SOB. BP: 89/48 mmHg, HR: 128 bpm, RR: 26/min, T: 37, SpO2: 92% in room air. He has a history of lung cancer, hypertension and diabetes mellitus. Bed side ECG is done. What is your next action?
Feel free to give your answers at the comment box below.
Sudden Shortness of Breath
In case you didn’t encounter a sudden shortness of breath today!
A 23-year-old male patient presented with sudden onset SOB and chest pain. BP: 121/68 mmHg, HR: 102 bpm, RR: 22/min, T: 37, SpO2: 93% in room air. He has no history of disease. On the exam, you appreciated a decreased breath sound on the left and checked the thorax with bedside ultrasound. Here are the ultrasound findings of the patient.
What is your next action?
Thank you!
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X-ray findings of AD
In case you didn’t encounter a patient with sharp inter scapular pain today!
A 67-year-old male patient presented with sharp interscapular pain. BP: 189/107 mmHg, HR: 118 bpm, RR: 26/min, T: 37, SpO2: 93% in room air. He has a history of hypertension and diabetes mellitus. The chest x-ray is shown below.
Let’s remember findings of aortic dissection in the chest x-ray.
- Depression of the left mainstem bronchus
- Displaced intimal calcification
- Indistinct or irregular aortic contour
- Left apical pleural cap
- Opacification of the “AP window” (i.e., clear space between the aorta and the pulmonary artery)
- Pleural effusion (left > right)
- Tracheal or esophageal deviation
- Widened aortic knob or mediastinum (present in only 63% and 56% of patients with type A and type B dissections, respectively)
What is your next move?
In case you didn’t encounter an elderly with abdominal pain today!
A 72-year-old male patient presented with mild abdominal pain. BP: 145/68 mmHg, HR: 83 bpm, RR: 16/min, T: 37, SpO2: 98% in room air. He has a history of hypertension and diabetes mellitus around 25 years. On the exam, you appreciated a pulsatile mass and checked for the aorta with bedside ultrasound. Here is the cine record of the patient.
What is your next action?
Feel free to give your answers at the comment box below.
Left Flank Pain
Is this AAA going to be ruptured?
Abdominal Aortic Aneurysm (AAA)
Lit Sin Quek
A 75-year-old obese man comes to the emergency department. He has history COPD, hypertension. He is a smoker and on regular follow-up with primary care. He describes sudden onset severe flank and back pain for past 2 hours. He denies any chest pain or dyspnea. He informs the physician about his chronic abdominal pain. His initial vital signs are HR 98 bpm, RR 24/min, BP 190/105 mmHg, T 36.9C. His examination revealed mild abdominal pain without rigidity or rebound tenderness. Bedside ultrasonography performed and the result is shown on the side.
What is the risk of rupture?
Touch Me
Risk of Rupture
increases with emphysema, smoking, hypertension. Regarding Powell’s (2003, 2007) study aneurisms above 5.5 cm have 9.4% to 32.4% rupture risk in one year.
Answer