Key Images Flashcards
90 year old female patient
Acute abdominal pain
FINDING: Dilated small bowel
DIAGNOSIS: Small bowel obstruction
Management: CT abdomen
43 year old male patient
Prior procedure
FINDING:
Inferior vena cava filter
Cholecystectomy clips
DIAGNOSIS:
Prior venous thromboembolism
67 year old male patient
Acute dyspnoea
FINDING:
Pulmonary oedema
DIAGNOSIS:
Congestive cardiac failure
MANAGEMENT:
Fluid balance, diuresis
56 year old female patient
Check X-ray
FINDING:
Misplaced nasogastric tube
MANAGEMENT:
Careful removal
Re-site NG tube
Correct position of NG tube
NG tube curled back into oesophagus
65 year old female patient
Dyspnoea, weight loss
FINDING:
Right pleural effusion
DIFFERENTIAL DIAGNOSIS:
Infection, trauma,
malignancy, cardiac failure
MANAGEMENT:
Pleural fluid analysis
CT chest
47 year old female patient
Abdominal distension
FINDING:
Dilated large bowel
DIAGNOSIS:
Large bowel obstruction
MANAGEMENT:
CT scan of abdomen
57 year old male patient
Fall, acute chest pain
FINDING:
Right pneumothorax
Surgical emphysema
DIFFERENTIAL DIAGNOSIS:
Trauma, emphysema,
spontaneous
MANAGEMENT:
Chest tube if dyspnoea
Follow-up chest X-ray
27 year old male patient
Chronic abdominal pain
FINDING:
Barium small bowel series
Terminal ileum stricture
DIAGNOSIS:
Crohn’s disease
MANAGEMENT:
Disease modifying drugs
77 year old female patient
Cough
FINDING:
Left lower lobe collapse
Sail sign
DIFFERENTIAL DIAGNOSIS:
Mucoid bronchial impaction,
Infection, tumour
MANAGEMENT:
Chest physiotherapy
Repeat chest X-ray
CT chest if collapse persists
90 year old female patient
Abdominal pain
FINDING:
Pneumoperitoneum
DIAGNOSIS:
Bowel perforation
MANAGEMENT:
Observations, IV Fluids
Emergency surgery
CT abdomen
90 year old female patient
Abdominal pain
FINDING:
Pneumoperitoneum
Rigler’s sign
DIAGNOSIS:
Bowel perforation
MANAGEMENT:
Observations, IV Fluids
Emergency surgery
CT abdomen
55 year old female patient
Haemoptysis
FINDING:
Left upper lobe collapse
Veil sign
DIFFERENTIAL DIAGNOSIS:
Bronchial tumour
MANAGEMENT:
Bronchoscopy
CT chest
75 year old male patient
Prior cancer treatment
FINDING:
Brachytherapy
DIAGNOSIS:
Prostate carcinoma
48 year old male patient
Dry cough & dyspnoea
FINDING:
Basal lung consolidation
DIFFERENTIAL DIAGNOSIS:
Covid pneumonia,
other lung infection
MANAGEMENT:
Covid RT-PCR test
Sputum samples
Oxygen
78 year old male patient
On apixaban medication
Head trauma
DIAGNOSIS:
Acute subdural haemorrhage
Midline shift
Raised intracranial pressure
MANAGEMENT:
Close observation
Neurosurgery referral
Stop anticoagulant
85 year old male patient
Fall at home
(AP view of pelvis)
FINDING:
Fractures of
pubic rami
MANAGEMENT:
Analgesia
Mobilisation
Osteoporosis therapy
Acute extradural haematoma
Fractures of C6 and C7 vertebral bodies
Normal chest X-ray
Normal gas pattern
Normal hand
Normal pelvic X-ray
Small right pleural effusion
Terminal ileal stricture in Crohn’s disease
