Radiology Spot Questions Flashcards

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1
Q

This x-ray was taken from an un-immunised child with stridor.

What is the main virulence factor for the causative organism?

A

This image shows the “thumbprint” sign of epiglottitis.

The causative organism is Hib.

The major virulence factor for Hib is its polysacharide capsule, which is composed of polyribosylribitol phosphate.

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2
Q

This x-ray is from an ex-construction worker.

What has he been exposed to?

Which cancers is he at greatest risk of developing?

A

Asbestosis (pleural plaques).

Bronchogenic carcinoma > malignant mesothelioma.

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3
Q

In the context of hyponatraemia, what is the likely cause of this abnormal chest radiograph?

What other paraneoplastic syndromes are associated with this aetiology?

A

The hilar mass on the right is likely caused by an obstructing small cell lung cancer causing SIADH.

Other paraneoplastic syndromes include:

Lambert-Eaton myasthenic syndrome

Cushing syndrome

Cerebellar ataxia

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