Images and ECGs

Question 1

What does this show?

Answer 1

Loss of left heart lobe -> left lingula consolidation

Question 2

What does this image show?

Answer 2

Right Lung collapse - trachea deviated towards the collapse

Question 3

In x-rays when is the lung deviated towards / away from affected size?

Answer 3

Trachea is always pulled towards to the side of less pressure thus:
Towards in: pneumonectomy, lung collapse, lung hypoplasia
Away from in: tension pneumothorax, massive pleural effusion

Question 4

What does this X-ray show?

Answer 4

erect CXR w/ visible air under diaphragm on both sides suggestive of pneumoperitoneum -> secondary to bowel perforation

Question 5

What does this xray show?

Answer 5

Small bowel obstruction and riglers sign (double wall) - suggestive of free air in abdo

Question 6

X ray of COPD pt spine - due to back pain - what is going on?

Answer 6

Osteoporotic fractures secondary to long term steroid use

Question 7

What does this show?

Answer 7

The chest x-ray shows that the the trachea (blue) is pushed away the side of the white-out. The other signs of a positive mass effect include leftward bowing of the azygo-oesophageal recess (yellow) and splaying of the ribs on the right.

Question 8

What does this show?

Answer 8

Left subcapital fracture

Question 9

What does this image show?

Answer 9

There is loss of haustral markings in distal part of bowel (RHS of image) consistent with UC

Question 10

How is liver cirrhosis diagnosed and monitored the severity of? who should be offered this?

Answer 10

Transient elastography (fibroscan) and acoustic radiation force impulse imaging

• people with hepatitis C virus infection
• men who drink over 50 units of alcohol per week and women who drink over 35 units of alcohol per week and have done so for several months
• people diagnosed with alcohol-related liver disease

Question 11

What does a TIPS procedure connect?

Answer 11

Hepatic vein and portal vein

Question 12

What are some causes of Bile-acid malabsorption? mx?

Answer 12

cholecystectomy
coeliac disease
small intestinal bacterial overgrowth

mx - bile acid sequestrants eg cholestyramine

Question 13

Mx of alcoholic ketoacidosis?

Answer 13

IV saline + thiamine

Question 14

Gallstones may occur where after cholecystectomy causing jaundice and pain?

Answer 14

Common bile duct (choledocholithiasis)

Question 15

What does this image show?

Answer 15

Barium enema of LIF - diverticulosis