WHAT ITS THE DIAGNOSIS?
A 43 YEARS OLD MAN WITH ONE DAY OF ABDOMINAL PAIN SO HARD, NAUSEA A VOMITING.
HERE ARE THE ABDIMANAL X RAY:
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WHAT ITS THE DIAGNOSIS?
A 43 YEARS OLD MAN WITH ONE DAY OF ABDOMINAL PAIN SO HARD, NAUSEA A VOMITING.
HERE ARE THE ABDIMANAL X RAY:
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THIS IS FREE GAS IN THE ABDOMEN, MAY BE A RESULT AFTER RUPTURE OF THE ULCER OR OTHER DIGESTIVE ORGAN
ReplyDeletegastrik perferasyon
ReplyDeleteair under diaphragm intestinal perforation
ReplyDeleteair under diaphragm(pneumoperitoniam) due to ruptur viscous
ReplyDeletei don't think so .i think bowel perforation and rupture viscous that are differential diagnosis
ReplyDeleteit may be chilaiditi syndrome
cxr shows the presence of the hepatic flexure of the colon interposed between the liver and diaphragm(chilaiditi's sign)
chilaiditi syndome is this fiding plus symptomatology: nause,vomiting .abdominal pain, anorexia,constipation or respiratory distress
GI perforation
ReplyDeletemost likely rupture of an ulcer
:) I propose another scenario : that guy have lung cancer (maybe epidermoid cancer in the right middle lobe), and because of treatment of chemotherapy, he has abdominal pain, nausea and he is vomiting.
ReplyDeleteif I extend my opinion, some lung cancer may extend and cause paralysis on the phrenic nerve causing ascension of the hemi-diaphragm, as can be seen on the Rx (right hemi-diaphragm)
ReplyDelete*has
ReplyDeletechiladiti syndrome
ReplyDelete