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Chest Xray

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Apr 6, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis ?

    Chest Xray.jpg
     

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  2. lastmeng

    lastmeng Young Member

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    dextrocardia
     

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  3. Flightmedic1

    Flightmedic1 Famous Member

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    Image flipped horizontally. Wrong marker used by radiographer - should have used "L" instead of "R". X-ray seems unremarkable.

    Clues are:
    • Gastric air bubble
    • Elevated diaphragm superior to liver
     

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  4. amp_cat

    amp_cat Young Member

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    Situs inversus
     

  5. neo_star

    neo_star Moderator

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    dextrocardia + gastric bubble on right side + liver on lt side ( lt hemidiaphragm higher ) = situs inversus totalis
     

    Last edited: Apr 7, 2013
  6. bb100

    bb100 Bronze Member

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    heart and stomach gas on the right side . liver on the left side.
    findings are consistent with situs inversus totalis
     

  7. reza

    reza Young Member

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    Situs inversus
     

  8. Hasan

    Hasan Bronze Member

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    Yeah............Situs inversus
     

  9. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Situs inversus totalis.
     

  10. Sisca Dwi Agustina

    Sisca Dwi Agustina Active member

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    flipped organ position = situs inversus totalis
     

  11. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer :Dextrocardia
     

  12. bb100

    bb100 Bronze Member

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    if right and left markers don't wrong situs inversus totalis is present :)
     

    Last edited: Apr 13, 2013
  13. apparat

    apparat Well-Known Member

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    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
     

  14. neo_star

    neo_star Moderator

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    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 ) [​IMG]
    2) G0d screwed it up ( bad prognosis ) (N)
     

    Last edited: Apr 18, 2013
  15. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : situs inversus totalis

     

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