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Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Mar 19, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    what is your medical diagnosis ?

    [​IMG]
     

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  2. Carmen

    Carmen Active member

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    Maybe is a pleural effusion
     

  3. Karel from Olomouc

    Karel from Olomouc Active member

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    Ah, my opinion is right side pneumothorax, because the right lung looks shrunk :)
     

  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Pleural effusion l.dx.
     

  5. neo_star

    neo_star Moderator

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    i will blow up the image first

    hemo_hydro_pneumothorax.jpg

    Ans.jpg




    2 differentials
    - hemopneumothorax
    - hydropneumothorax

    Hemopnumothorax - both the hemo and pneumo components could be from the same cause ex - stab injury or any other traumatic injury to chest ex - motor vehicle accident, heavy object falling on chest, as in earthquake - but since i don't see any broken ribs, i go for stag injury as a possible mechanism.

    Hydropneumothorax - the hydro and pneumo components could be from connected or totally unrelated causes.
    ex - the hydro component could be because of tuberculosis effusion or cirrhosis-associated hydrothorax (yes, u can have a large one) and the thoracentecis for draining the fluid could have inadvertently damaged the pleura. A tuberculous cavity could have ruptured due to repeated coughing and led to this picture.

    or the patient could have blebs sec to COPD, which could have ruptured and given rise to the pneumo part, independent of the hydro part.
     

    Last edited: Mar 20, 2013
  6. Karel from Olomouc

    Karel from Olomouc Active member

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    Thanks my friend Neo Star, thank you again for the great explain, and I'm happy finally this time I can figure the right answer myself in certain degree :-D
     

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  7. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Hydropneumothorax "Hemopneumothorax"
     

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