New to Meducation?
Sign up
Already signed up? Log In

Category

Preview 300x366
9
493

Abdominal Aortic Aneurysm X-Ray

In this X-Ray you can see the faint outline of a very large AAA. It is important that you specifically look for this feature on an Abdominal X-Ray as this can be a potentially life threatening condition.  
Rhys Clement
about 9 years ago
Preview 300x365
12
833

Pleural effusion x-ray (left-sided)

This PA Chest X-Ray demonstrates a left sided pleural effusion. In this condition fluid collects between the parietal and visceral pleura and appears as a shadowy fluid level on the X-Ray with obliteration of the costophrenic angles. If you were to examine this patient they might be in respiratory distress from reduced oxygen uptake (so have low sats, high resp rate, possible cyanosis and accessory muscle useage) - they may have reduced chest expansion on the affected side and it would be stony dull to percussion. Fluid transmits sound poorly so breath sounds would be decreased as would vocal resonance/fremitus. Someone with consolidation may have very similar clinical findings but the underlying area of lung is almost solid due to pus from the infective process - as sounds travel well through solids they would have increased vocal fremitus which is how you can clinically differentiate between the two conditions. Clinical examination and understanding of conditions is paramount to practice effective medicine. Before you recieved this X-Ray you should be able to diagnose the condition and use the X-Ray to confirm your suspicions.  
Rhys Clement
about 9 years ago
Preview 300x246
6
239

Abdominal X-Ray - Small bowel obstruction

Small bowel obstruction can be identified by the dilated loops of centrally placed bowel with the venae commitantes (circular bands of muscle) that span the entire width of the bowel as opposed to tenae coli in the large bowel which only span part of it.  
Rhys Clement
about 9 years ago
Preview 300x366
3
303

Abdominal X-Ray - Large Bowel Obstruction

This image shows dilated loops of large bowel. It can be identified as large bowel because of the tenae coli which form bands that never cross the whole width of the bowel unlike the venae commitantes of small bowel  
Rhys Clement
about 9 years ago
Preview 300x246
9
338

CXR - left sided pneumothorax and surgical emphysema

In this Chest X-Ray we can identify a left sided pneumothorax - there is absence of lung markings in the periphery and we can also see a shadow which outlines the edge of the lung. A pneumothorax is caused when air enters the potential space between the viceral and parietal pleura and causes the lung to collapse down under the pressure of it's elsatic recoil. In this case it is likely that the pneumothorax has been caused by trauma as we can see air in the soft tissues on the left side (surgical emphysema - clinically feels like bubble wrap). A pneumothorax can be a life threatening condition. The patient presents in respiratory distress with decreased expansion on the affected side. There will be hyperresonance to percussion on that side but absent breath sounds. The emergency treatment is decompression with a large bore cannula in the 2nd intercostal space mid-clavicular line followed by insertion a chest drain in the 5th intercostal space mid-axilllary line  
Rhys Clement
about 9 years ago
Preview 300x246
4
116

Chest X-ray

Note the calcified granuloma in the right upper zone (an important differential being malignancy). Note also the left lower lobe collapse ('sail sign' behind the heart). If you look closely you will see the abscence of the lower ribs leading you to the conclusion that the patient has, at some point, undergone a thoracotomy. You can also see surgical clips in the stomach.  
Tim Ritzmann
about 9 years ago
Preview 300x246
6
104

Chest x-Ray

Left Sided Pleural effusion. The most common cause of this presentation is malignancy. It is important to consider the source of a possible primary. It may also be necessary to obtain a sample of the effusion fluid to determine whether it is a transudate or an exudate, using Light's criteria as a guide. Exudate contains greater levels of protein than a transudate reflecting it's often inflammatory origin as the blood vessels become 'leaky' to protein molecules. The differential diagnosis for bilateral pleural effusions is different again. Consider 'failure' e.g. heart, renal or hepatic.  
Tim Ritzmann
about 9 years ago
Preview 300x246
7
145

X-ray of old TB

as per the above  
Mr Jamie Dunn
almost 9 years ago
12
0
147

Priapism and Hematuria

<p>Why is a 12 hour erection a bad thing? How should we manage the patient with bloody urine? A curbside consult with urologist Brian Shaffer, MD.&nbsp;</p <p>Your emails</p <p>An unusual southern accent</p <p>and much more...</p <p>&nbsp;</p <p><em><strong><span style="font-size: x-large; color: #0000ff;">Urology Primer</span></strong></em></p <p>&nbsp;</p <p><strong><span style="font-size: large;">Priapism<span style="font-size: 10px; font-weight: normal;">&nbsp;a rare condition that causes a persistent, and often painful, penile erection.</span></span></strong></p <p>&nbsp;</p <p>Priapism is drug induced, injury related, or caused by disease, not sexual desire. As in a normal erection, the penis fills with blood and becomes erect. However, unlike a normal erection that dissipates after sexual activity ends, the persistent erection caused by priapism is maintained because the blood in the penile shaft does not drain. The shaft remains hard, while the tip of the penis is soft. If it is not relieved promptly, priapism can lead to permanent scarring of the penis and inability to have a normal erection.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Clot retention</span></strong></p <p>blood clots in the bladder prevent urine emptying</p <p>&nbsp;</p <p><span style="font-size: large;"><strong>Coude Catheter</strong></span></p <p>a semi-rigid catheter that has a curve or bend at the tip. The curved tip allows it to navigate over the curvature of the prostate or any other urethral obstruction it may encounter. A Coude catheter is specifically designed for this purpose. Coude catheters are available in size 8 French to size 26 French.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">De Novo</span></strong></p <p>The Latin expression de novo literally means something akin to "from the beginning" or "anew"</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Interstitial cystitis</span></strong></p <p>also called painful bladder syndrome &mdash; is a chronic condition characterized by a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in your pelvis, which can range from mild burning or discomfort to severe pain.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Cystoscopy</span></strong></p <p>the use of a scope (cystoscope) to examine the bladder. This is done either to look at the bladder for abnormalities or to help with surgery being performed on the inside of the urinary tract (transurethral surgery).</p <p>&nbsp;</p <p><strong><span style="font-size: large;">CT Urogram</span></strong></p <p>A urogram is a radiograph, or X-ray image, of the urinary tract.&nbsp;</p <p>&nbsp;</p <p><strong><span style="font-size: large;">TURP</span></strong></p <p>transurethral resection of the prostate</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Foley catheter</span></strong></p <p>a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. It is held in place with a balloon at the end, which is filled with sterile water to hold it in place. The urine drains into a bag and can then be taken from an outlet device to be drained</p <p>&nbsp;</p <p>&nbsp;</p>  
Rob Orman, MD
over 8 years ago
Preview 300x366
4
1123

Psoas Line on Abdominal X-ray

This is the psoas line seen on an abdominal x-ray. Original image is from http://upload.wikimedia.org/wikipedia/commons/d/d0/Medical_X-Ray_imaging_ALP02_nevit.jpg  
Dr Alastair Buick
about 6 years ago
Preview
10
323

Commonly missed Fractures

Cases with Xrays and Questions Fractures that even Emergency doctors miss. Don't forget to examine soft tissues!  
Anna-Maria Paes
almost 6 years ago
Preview
16
725

An interesting chest x-ray

Case-based X-ray Interpretation with Questions.  
Anna-Maria Paes
almost 6 years ago
Preview
1
78

Golden S sign - radiology video tutorial (x-ray)

Golden S sign - a chest radiograph sign of right upper lobe collapse due to an obstructing central mass, most often primary lung cancer.  
Radiopaedia
over 5 years ago
Preview
3
51

Jefferson fracture - radiology video tutorial (x-ray, CT)

Jefferson fracture - a burst type cervical spine fracture of C1 (the atlas).  
Radiopaedia
over 5 years ago
Preview
1
33

Elbow joint effusion and the sail sign - radiology video tutorial (x-ray)

Teaches you how to recognise an elbow joint effusion on lateral radiographs by identifying displaced elbow fat pads. Includes a description of the sail sign and posterior fat pad sign.  
Radiopaedia
over 5 years ago
Preview
1
31

Radial head dislocation - radiology video tutorial (x-ray)

Teaches you how to recognise radial head dislocation on elbow radiographs by assessing the radiocapitellar line. Includes four case examples and anatomical illustrations.  
Radiopaedia
over 5 years ago
Preview
3
308

Cases in Radiology: Episode 3 (pediatric, chest x-ray)

In this episode we take a look at a basic but important paediatric chest radiograph case with a practical discussion of management and follow-up. View the case in Radopaedia quiz mode here: http://goo.gl/u65js  
Radiopaedia
over 5 years ago
Preview
4
136

Radiology Masterclass - X-ray Courses Online. Take a Radiology Masterclass course online today and gain a verifiable certificate of course completion to boost your portfolio.

Radiology Masterclass Courses. Online X-ray courses accredited by the Royal College of Radiologists, London, UK. Register for online X-ray courses provided by Radiology Masterclass.  
radiologymasterclass.co.uk
over 4 years ago
Preview
2
93

Pneumonia (Adults)

This article describes adult respiratory tract infection. For more information, please see paediatric respiratory infections   Pneumonia is a common lower respiratory tract infection, characterised by inflammation of the lung tissue. It is almost always an acute infection, and almost always caused by bacteria. Diagnosis is typically confirmed via chest x-ray.  
almostadoctor.com - free medical student revision notes
over 4 years ago
Preview
1
19

Bullous Pemphigoid

Aetiology Elderly (>65yrs) Vaccinations (in children with  condition affecting face, palms and soles)  NSAIDs, furosemide, antibiotics UV radiation / x-rays   Pathophysiology  
almostadoctor.com - free medical student revision notes
over 4 years ago