Thursday, January 19, 2017

Chest X Ray Showing Depressed Sternum (Pectus Excavatum)

A 48 years old male came to radiology department for X-ray chest with history of cough over several days. His chest X ray is shown below:

X-ray chest PA and lateral view show depressed sternum or pectus excavatum (arrow), otherwise lung fields are clear.

Discussion: Pectus excavatum or depressed sternum is a congenital condition in which the sternum is caved-in along with the ribs and on X-ray chest the heart may be a little more on right side because of rotation. It can be present at birth. It is also known as cobbler’s chest, sunken chest or funnel chest.
In this, the anterior ribs being more vertical and the posterior ribs being horizontal than normal.

Common Drug Antidotes - Chart

Seborrheic Keratoses- Management

                                             Seborrheic keratoses seen in an Elderly man 

An 82-year-old nursing home resident is seen on monthly rounds. The floor nurse points out the skin lesions shown here. The patient is asymptomatic. Appropriate management includes
A) Punch biopsy
B) Topical 5-fluorouracil cream
C) Cryotherapy
D) Hydrocortisone cream
E) Observation

Answer: The answer is E. (Observation)

Discussion: Seborrheic keratoses are common skin lesions that affect the elderly. They tend to run in families. The average diameter is 1 cm, but they can grow to 3 cm in diameter. The lesions are brown or black, oval in shape, raised, and have a “stuck on” appearance.

Wednesday, January 18, 2017

Calcium Antagonist - Mnemonic

Costochondral Calcification Seen On Chest X-Ray

A 64 years old male came to radiology department for X-ray chest with history of cough and cold.

The X- Ray is shown below:

1. Describe the radiological signs in the above given X ray?

Answer: X-ray chest shows normal lung fields with normal cardiac configuration. Calcification of upper and lower margins of costal cartilages is seen.

2. Comment and Explain the calcification of the costal cartilages?

Congestive Heart Failure - Signs And Symptoms (Mnemonic)