This amazing video explains almost everything related to Abdominal X-rays and the pathology involved, faster and better than a textbook. Thank you for the effort. The" 3-6-9 rule" is essential knowledge.
BBC approach: Bowel and other organs: small bowel, large bowel, lungs, liver, gallbladder, stomach, psoas muscles, kidneys, spleen and bladder. Bones: ribs, lumbar vertebrae, sacrum, coccyx, pelvis and proximal femurs. Calcification and artefact (e.g. renal stones)
Thanks Dr. Strong. Even for you, with my high expectations for your videos, this was truly outstanding. I love the way you show a radiograph of a finding, then immediately have a picture pop up that shows the object that caused the finding or overlying the finding to show why it is named that. Your choice of topics to mention and the amount of time allotted are all just right. I wish I'd had this in my intern year! Thanks.
Excellent video, Dr. Strong. It'd be interesting to see your take on common abnormalities compared on different imaging modalities, and the decision-making involved in choosing which would be most appropriate to obtain.
Thank you so much for these videos. The only thing that would make them even better is the findings' association with a specific clinical scenario. We are often told not to treat the investigation results but treat the patient. Having a few clinical correlates with the various findings would bring the concept together. Thank you so much for your time and energy.
4:49 thank you Dr Strong for another brilliant video Just one question; my specialty area is oncology & I often order AXR to assess stool burden; you mention that you don’t use AXR for this indication How do you assess stool burden? Regards EN
I’m a bit confused as to weather to request an AXR when suspecting a SBO. It is listed as an indication for ordering an AXR but all the surgical trainees say not to order one. Their reasoning is if the AXR shows what might be a SBO, you end up doing a CT with oral contrast to evaluate/treat it; if the AXR doesn’t show a SBO, it doesn’t rule it out either so you end up doing a CT regardless of what the AXR shows. So what is an AXR actually useful for in such situations?
Abdominal xrays are a topic medical students find pretty challenging, but you explained this so clearly! Your videos have inspired me to make own videos more succinct. Keep up the great content 👌
Do you mean your prof has referred students to my video, covers the same general material as I do, or that your prof literally plagiarized my presentation?
To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray. However, some intestinal obstructions can't be seen using standard X-rays. 👍
So would they able to see your abdomen doing an ultra sound! My doctor ordered a CT scan but I am terrified of doing it. I am also scared and would never do an MRI.
On the upright film, the "air fluid levels" are the horizontal lines within the small intestines in which there is black (air) on top, and white (fluid) on the bottom. They are primarily located in the patient's upper left (the upper right for the viewer). There are roughly 8 of them in this particular X-ray (2 per individual loop of bowel).
please cite the source for this line: "it's been estimated that about half of deaths from button battery ingestion occur due to someone misidentifying the battery on x-ray as a coin" This seems unlikely to me as a button battery will normally have discharged and damaged the esophageal mucosa within 15 minutes (Gerner et al, 2019). but idk please cite.
The US Poison Control has a public registry listing details of 70+ cases: www.poison.org/battery/FatalCases Most patients don't die from the primary rupture of the esophageal mucosa and subsequent infection; instead, most die days later from massive hemorrhage due to the development of fistulas between the esophagus and the aorta or other blood vessels.
@@StrongMed wow thanks so much for the reply. While ive got you here, just want to say I love your videos!! I looked more into the statement I quoted from you above, and it does seem to be at least partially incorrect (youre totes right about my original contention though). However, you specify that the cause of death of half of button battery ingestions is misidentifying the battery as a coin. But here is a quote from the 2018 review published in BJR by Semple et al: "[a 2010 examination of the National Poison Data System] identified 13 fatalities and 73 major complications [of button battery ingestion]. The diagnosis was initially missed in 7 of the fatal cases and 19 of the cases with major complication, most often through failure of recognition that foreign body ingestion had occurred at all. Perhaps more significantly to radiologists, 4.5% of ingested batteries in the significant harm group were initially misdiagnosed as ingested coins on radiography" its actually only 5% that were misidentified as coins, about half are just due to plain not seeing it.
AI disagree with the PA chest being best for pneumoperitoneum --- if properly and accurately positioned ...the upright abdomen is great for this condition. The entire diaphragm should be seen on an Upright image. I do my adult AP upright abdomens at a SID of 72" to make sure all anatomy is present and not clipped - especially the diaphragm.
I'm very sorry, but I cannot give specific, individualized medical advice on here. If you have concerns about a symptom you are experiencing, I recommend you speak with your own physician.
