A 52 year old bricklayer is transferred from another hospital with an acute episode of dizziness, palpitations and tachycardia. 2 days prior, he had bilateral total knee replacements for osteoarthritis.
Potentially difficult intubation of man with a receding chin and unusual jaw anatomy. You decide to watch the intubation with ultrasound.
Additional reading from Normal CXRs; Eric Strong Interpretation series; the DRABCDE approach; CXR for the OSCE and of course the Top 150 CXR to try your luck!
OSCE examination: Question: Please describe the main features on this chest x-ray in particular the mediastinum.
Labelled normal anatomy chest X-ray to assist in interpretation review
Chest X-Rays (CXR) are routine investigation in clinical practice and consequently it is important for medical students and clinician’s alike to know how to interpret them. There are many approaches to CXR interpretation, each trying to ensure that key abnormalities are identified and no area is overlooked.
The eponym 'Wegener Granulomatosis' has been replaced with the term 'Granulomatosis with polyangiitis (GPA)'. This transition was in part to achieve nomenclature symmetry with Microscopic Polyangiitis (MPA) and Eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss); and to remove any historical association with Friedrich Wegener following revelations of his association with the Nazi Party in World War II
Friedrich Wegener (1907-1990) was a German pathologist. Affiliated with Wegener granulomatosis, now termed granulomatosis with polyangiitis (GPA)
A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.
Empyema is a purulent pleural effusion. Seeding of the pleural space by bacteria or rarely fungi is usually from extension from adjacent pulmonary infection.
A pneumothorax, an abnormal collection of gas in the pleural space, separating the parietal pleura of the chest wall from the visceral pleura of the lung.