Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Apr 6, 2013.
What is your medical diagnosis ?
Image flipped horizontally. Wrong marker used by radiographer - should have used "L" instead of "R". X-ray seems unremarkable.
Gastric air bubble
Elevated diaphragm superior to liver
dextrocardia + gastric bubble on right side + liver on lt side ( lt hemidiaphragm higher ) = situs inversus totalis
heart and stomach gas on the right side . liver on the left side.
findings are consistent with situs inversus totalis
Situs inversus totalis.
flipped organ position = situs inversus totalis
if right and left markers don't wrong situs inversus totalis is present
This was a good reply in my opinion; at least you justified your answer (although grasping with the whole radiographer did it wrong - no offence). Just make sure you know what situs inversus is; that way you have two differentials now for the image =P
yes, i agree dat was a very brilliant answer from flight medic ( even bb100 may not hav thought about it, right away P: ).
i think it is the ( alleged ;-) ) - "situs inversus totalis" dat led him to think that away....as opposed to situs inversus with levocardia ( situs inversus incompletus ).
So, in honor of "Flightmedic" it is only proper to hav differentials rather dan a diagnosis to dis challenge.
so d 2 differentials to dis post shud be
1) the doc screwed it up ( good prognosis )
2) G0d screwed it up ( bad prognosis ) (N)
Answer : situs inversus totalis
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