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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 11, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What’s your diagnosis?

    I’ll post the correct answer in a few days!

    DDx.JPG
     

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  2. sundarto

    sundarto Bronze Member

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    congestif heart disease (cardiomegalia with pulmonary congestion)
     

  3. soha azab

    soha azab Famous Member

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    scimitar sign of pul. venous anomalous
     

  4. drabdallah_soliman

    drabdallah_soliman Well-Known Member

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  5. bb100

    bb100 Bronze Member

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    1-Retrosternal (mediastinal ) goiter
    2-COPD ?.Pulmonary congesion.Cardiomegaly ,
     

  6. hebatttt

    hebatttt Active member

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  7. dofus kamas

    dofus kamas Famous Member

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    congestif heart disease?
     

  8. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Pulmonary hypertension.

    This chest X-ray shows enlarged pulmonary arteries from pulmonary artery hypertension. When caused by interstitial lung disease and leading to right heart failure, this would be termed cor pulmonale. No signs of interstitial lung disease are identifiable in this image.

    The book (Oxford Handbook of Clinical Medicine, 8th edition) didn’t reveal any further information on e.g. goitre. It may well be true, but I can’t tell that with certainty. CHF seems likely, as well.
     

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