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DDx

Discussion in 'Spot Diagnosis' started by bb100, Jun 10, 2012.

  1. bb100

    bb100 Bronze Member

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    diagnose ? Please

    2222.jpg
     

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    bb100, Jun 10, 2012
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  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    There is miliary mottling and the heart seems to be enlarged. I think the most probable diagnoses are miliary TB, sarcoidosis and pulmonary hypertension (e.g. due to mitral stenosis).
     

    J.P.C. Peper, Jun 10, 2012
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  3. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Miliary tuberculosis
     

    Gospodin Seki, Jun 10, 2012
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  4. drabdallah_soliman

    drabdallah_soliman Well-Known Member

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    pulmonary oedema cardiogenic
     

    drabdallah_soliman, Jun 10, 2012
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  5. soha azab

    soha azab Famous Member

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    cardiogenic pulmonary oedema
     

    soha azab, Jun 10, 2012
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  6. pianzi

    pianzi Well-Known Member

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    pianzi, Jun 11, 2012
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  7. bb100

    bb100 Bronze Member

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    yes
    correct diagnosis is cardiogenic pulmonary oedema .
    Cardiomegaly and bilateral perihilar opasity are seen.
    Bat's wing or butterfly pulmonary opacities refer to a pattern of bilateral perihilar shadowing.
     

    bb100, Jun 11, 2012
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    soha azab and J.P.C. Peper like this.
  8. Aye Mya Htun

    Aye Mya Htun Famous Member

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    A . Alveolar oedema in Bat's wing appearance ,
    B. Kerley's B line
    C. cardiomegaly
    D . upper lobe vein dilatation
    E . minimal pleural effusion
    if so , the diagnosis is acute cardiogenic pulmonary oedema .
    but , why the patient was still supine :p
     

    Aye Mya Htun, Jul 18, 2012
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