Sunday 27 March 2022

MCQ--HRCT

 

Q.All are true regarding HRCT finding except

a.the crazy-paving pattern is specific of   PAP

b.pleural thickening and plaques seen in asbestosis

c.airspace consolidation paralleling chest wall is seen  in Chronic eosinophilc pneumonia

d.mosaic attenuation pattern seen in OB

e.cystic fibrosis shows central and upper lobe bronchiectasis 

ANS .a

The crazy-paving is not specific of PAP .

Thursday 24 March 2022

MCQ --COLON

 

Q.All true regarding colon except

a.in supione postion , transverse and sigmoid colon usually contain greatest amount of gas

b.calibre of colon varies from 3 to 6 cm

c.caecum has the greatest diameter in colon  

d.rupture of sigmoid colon diverticula usually results in free intraperitonal air

e.persistent caecal diameter of 9 to 10 cm or more  indicate of  risk of impending perforation

ANS.d

Rupture of sigmoid colon diverticula usually results in development of retroperitoneal gas  because sigmoid diverticula are frequently oriented toward the sigmoid mesentry .

The sigmoid colon and transverse colon are intraperitoneal structures suspended by the sigmoid mesentry and transverse mesocolon respectively .Ascending colon and descending colon and rectum are fixed retroperitoneal structures .

On upright abdominal radiograph ,air-fluid levels in the bowel are often interpreted as sign of obstruction

Sunday 6 March 2022

Sacral fracture--DENIS classification

 



CT scan of pelvis-----Fracture of left ala of pelvis seen .There is history of recent delivery and no history of trauma .This fracture belongs to TYPE 1 pattern according to Dennis classification.