Radiology OSCE 1st Revision

Post on 26-Nov-2014

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PNEUMOTHORAX

CP angle lost , It means pleural effusion

(( Bilateral pleural effusion ))

air under the diaphragm ((pneumopritoneum))

emphesyma

Expanded lung , ribs , vessels and narrow heart

Infarction

•CT scan for brain •loss of the right gyri

•right middle cerebral artrey is affectedThere is hemiplagia in left

side(contralateral)

Brain Hemorrhage

•CT scan for brain •hemorrhage in the basal

Ganglia=brain=parynchema

>>always comes With hypertension

Heparin is contraindication in bleeding

BONE SCAN

Dx:Bone Metastasis

trace >> Tc 99 MDP ( mithonin diphosphate) •multiple uptake in focal area

هذي نفس بس بعض جنب عظميه هياكل اربعه جاب الدكتور

بعض

Multiple Perfusion Defect

•trace >> 99maa (( micro - agreted - albumin ))

•test name >> perfusion lung scan

•we use this test for >> pulmonary embolism

Thyroid scan

trace >> Tc‐99m pertechnetate •we can use IODINE too

Monteggia Fracture-Dislocation

there's fracture in the shaft of the ulnar + dislocation of

the radius

Hair End Sign

•sign for hemolytic anemia Most))• sign for thalassemia also

normal cut CT for abdomen content

تشبهها بس الصورة نفس مو هذي

CT forabdomen and we see (renal stone) in it

Sup.mesentric a. lie anterior to renal vien &aorta lies posterior to renal vien

•Left obstructed kidney >> Daileted parenchema))hydronephrosis

•the test name is >> Intravenous Pilogram

((IVP ))

Renal Stone

•Left renal stone

Aneurism Bone Cyst

•Expansile lesion in the distal end of the ulna

stress fracture

•stress fracture in left femur (( mutizone fracture))

It typically occurs in weight bearingbones, such as the

tibia and metatarsals

X-ray of footIncrease Bone

Sclerosis

•The bone is more dense than the normal bone should

•The doctor will ask us about >>the factors that increase

bone sclerosis ?? ((MMMPROF

ankylosing spondylitisHyper extention))

الصورة هذي زي تقريبا

X-ray of the Shoulder •Anterior shoulder dislocation

Ant. Dislocation more common than post.

In epiliptic fit Posterioer dislocation occure

Colles Fracture

•x-ray of the wrist •we see bulging

Poly fracture in children

Enchondroma It's benign tumor of the bone

Swelling of cortex

Ewing's tumor It's malignant tumor

in medullaIn the

diaphysis(onion(peel

Or fit Congenital Diaphragmatic Hernia(Bowel in the chest)

Defect in hemi diaphragm

sigmoid colon cancer with barium enemaApple core appearance) )Narrowing of lumen

Sign Double Bubble

•X-ray of the abdomen of the child

•We see it with >> doudenal Atresia

Treatment is only surgical

Stomach and duodenal bulb are dilated.

•The pelvis is mongoloid (low acetabular, low iliac angles).

•Right atrium is prominent from AV communis.

DIAGNOSIS: •Duodenal atresia

Multiple air-fluid level in small bowelUp right filmDX:intestinal obstruction

<Rickets> Plain x-ray of rest (baby)

of vit.D.Cause of rickets: difDrug can cause rickets :epileptic drug

Left tension pneumothoraxTx>> chest tube

MCUG cystogramContrast of urinary bladdarPear shapeMultiple diverteculam Dx:Post urethral valveObstructive urinary bladdarOutlet obstructive لها تشبه بس الصوره نفس مو

Dx>> HydrocephalusMarked dailated ventrical of child

Dislocation of left head of femur of child

للجميع بالتوفيق

Done by:Qahl Maha hilabi & kholuod