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Radiology OSCE 1st Revision

Date post: 26-Nov-2014
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PNEUMOTHORAX
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Page 1: Radiology OSCE 1st Revision

PNEUMOTHORAX

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CP angle lost , It means pleural effusion

(( Bilateral pleural effusion ))

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air under the diaphragm ((pneumopritoneum))

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emphesyma

Expanded lung , ribs , vessels and narrow heart

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Infarction

•CT scan for brain •loss of the right gyri

•right middle cerebral artrey is affectedThere is hemiplagia in left

side(contralateral)

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Brain Hemorrhage

•CT scan for brain •hemorrhage in the basal

Ganglia=brain=parynchema

>>always comes With hypertension

Heparin is contraindication in bleeding

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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

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بعض

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Multiple Perfusion Defect

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

•test name >> perfusion lung scan

•we use this test for >> pulmonary embolism

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Thyroid scan

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

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Monteggia Fracture-Dislocation

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

the radius

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Hair End Sign

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

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normal cut CT for abdomen content

تشبهها بس الصورة نفس مو هذي

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CT forabdomen and we see (renal stone) in it

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

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•Left obstructed kidney >> Daileted parenchema))hydronephrosis

•the test name is >> Intravenous Pilogram

((IVP ))

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Renal Stone

•Left renal stone

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Aneurism Bone Cyst

•Expansile lesion in the distal end of the ulna

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stress fracture

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

It typically occurs in weight bearingbones, such as the

tibia and metatarsals

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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

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ankylosing spondylitisHyper extention))

الصورة هذي زي تقريبا

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X-ray of the Shoulder •Anterior shoulder dislocation

Ant. Dislocation more common than post.

In epiliptic fit Posterioer dislocation occure

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Colles Fracture

•x-ray of the wrist •we see bulging

Poly fracture in children

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Enchondroma It's benign tumor of the bone

Swelling of cortex

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Ewing's tumor It's malignant tumor

in medullaIn the

diaphysis(onion(peel

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Page 47: Radiology OSCE 1st Revision

Or fit Congenital Diaphragmatic Hernia(Bowel in the chest)

Defect in hemi diaphragm

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

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Sign Double Bubble

•X-ray of the abdomen of the child

•We see it with >> doudenal Atresia

Treatment is only surgical

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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

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

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

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

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Left tension pneumothoraxTx>> chest tube

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

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Dx>> HydrocephalusMarked dailated ventrical of child

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Dislocation of left head of femur of child

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للجميع بالتوفيق

Done by:Qahl Maha hilabi & kholuod


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