Discover and read the best of Twitter Threads about #bodyrad
Most recents (13)
#Wetread Case 19
Hx: Abdominal Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: Abdominal Pain
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread Case 19 Answer: Cecal volvulus
= torsion of the cecum around it's mesentery
~10% of intestinal volvuli
30-60yo
often prior abd surgery or pelvic mass
present as prox colon obstruction (pain,n,v, distention)
#FOAMrad #FOAMed #radres #errad #bodyrad
= torsion of the cecum around it's mesentery
~10% of intestinal volvuli
30-60yo
often prior abd surgery or pelvic mass
present as prox colon obstruction (pain,n,v, distention)
#FOAMrad #FOAMed #radres #errad #bodyrad
Cecal volulus:
2 types:
-Axial - twists about axial plane (either way) but remains in RLQ
- Loop type - twists and inverts moving to LUQ
Bascule is a variant where the cecum doesn't twist, just folds up anteriorly (NO torsion!)
From UpToDate (a=axial, b=loop, c=bascule):
2 types:
-Axial - twists about axial plane (either way) but remains in RLQ
- Loop type - twists and inverts moving to LUQ
Bascule is a variant where the cecum doesn't twist, just folds up anteriorly (NO torsion!)
From UpToDate (a=axial, b=loop, c=bascule):
#WetreadCoW Case 15
Hx: Vaginal bleeding
What is the first question to ask? What are the possible diagnoses? (more images to come of course 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: Vaginal bleeding
What is the first question to ask? What are the possible diagnoses? (more images to come of course 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
@ER_Rad_Hanna @GayatriJoshiMD @RadioGyan #WetreadCoW Case 15 (cont)
+Urine pregnancy test
Diagnosis(es)? Gifs only please! 😀 FOAMrad #FOAMed #radres #errad #bodyrad
+Urine pregnancy test
Diagnosis(es)? Gifs only please! 😀 FOAMrad #FOAMed #radres #errad #bodyrad
#WetreadCoW Answer: Cervical Ectopic Pregnancy
Imaging is easy!
-⭐️NO IUP(endometrium opposed, no fluid or sac)
-gestation sac w/ fetal pole in cervix
Options:
1) cervical ectopic
2) spont abortion
Here: Closed os, no endometrial fluid➡️ectopic
#FOAMrad #bodyrad #errad #obgyn
Imaging is easy!
-⭐️NO IUP(endometrium opposed, no fluid or sac)
-gestation sac w/ fetal pole in cervix
Options:
1) cervical ectopic
2) spont abortion
Here: Closed os, no endometrial fluid➡️ectopic
#FOAMrad #bodyrad #errad #obgyn
#WetreadCoW Case 14
Hx: Abominal Pain
Can you identify the source of acute pain and the underlying etiology?
Professionally appropriate gif responses only please. No spoilers! #FOAMrad #FOAMed #radres
A case for everyone 😀 #errad #bodyrad #chestrad #NeuroRad
Hx: Abominal Pain
Can you identify the source of acute pain and the underlying etiology?
Professionally appropriate gif responses only please. No spoilers! #FOAMrad #FOAMed #radres
A case for everyone 😀 #errad #bodyrad #chestrad #NeuroRad
#WetreadCoW Answer: Tuberous Sclerosis
More specifically - multiple large bilateral renal angiomyolipomas through the kidneys (green) with acute R perinephric hemorrhage (red arrows)
*remember ⬆️size of AMLs = ⬆️ risk of hemorrhage
#FOAMed #FOAMrad #bodyrad #radres
More specifically - multiple large bilateral renal angiomyolipomas through the kidneys (green) with acute R perinephric hemorrhage (red arrows)
*remember ⬆️size of AMLs = ⬆️ risk of hemorrhage
#FOAMed #FOAMrad #bodyrad #radres
Tuberous Sclerosis (aka Bourneville Dz)
-neurocutaneous disorder (phakomatosis)
-numerous benign tumors of ectodermal orgin (skin, eyes, CNS)
-usually sporatic
-Classic: child with Vogt's triad (seizures, intellectual disability, adenoma sebaceum rb.gy/rlkgei
-neurocutaneous disorder (phakomatosis)
-numerous benign tumors of ectodermal orgin (skin, eyes, CNS)
-usually sporatic
-Classic: child with Vogt's triad (seizures, intellectual disability, adenoma sebaceum rb.gy/rlkgei
#WetreadCoW Case 11
Hx: abdominal distention
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: abdominal distention
Please answer with professionally appropriate gif responses only. No spoilers. #FOAMrad #FOAMed #radres #errad #bodyrad
#WetreadCoW Case 11 Answer: Pseudomyxoma Peritonei
-accumulation of mucinous ascites from mucin producing tumor. This case is the classic mucinous appendiceal tumor s/p multiple debulking surgeries! #FOAMed #FOAMrad #Radres #bodyrad
👍 on the gifs everyone!
-accumulation of mucinous ascites from mucin producing tumor. This case is the classic mucinous appendiceal tumor s/p multiple debulking surgeries! #FOAMed #FOAMrad #Radres #bodyrad
👍 on the gifs everyone!
Pseudomyxoma Peritonei
Source: mucinous tumor of appendix (#1), colon, stomach, pancreas, urachus, ovary
Rupture➡️ mucin & neoplastic cells into the peritoneum ➡️ diffuse peritoneal spread of malignancy and increasing abdominal distention
Source: mucinous tumor of appendix (#1), colon, stomach, pancreas, urachus, ovary
Rupture➡️ mucin & neoplastic cells into the peritoneum ➡️ diffuse peritoneal spread of malignancy and increasing abdominal distention
#WetreadCoW Case 8
Hx: 30yo female w abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad @RyanBPetersonMD @ER_Rad_Hanna @RadioGyan
Hx: 30yo female w abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad @RyanBPetersonMD @ER_Rad_Hanna @RadioGyan
#WetreadCoW Case 8 Answer: Hepatic Adenoma w hemorrhage
Multiple hyperenhancing hepatic masses in a young female. Largest in L lobe w hyperdensity (blood)➡️irreg contour w mild extracapsular hemorrhage #FOAMrad #radres #bodyrad #ERrad
Multiple hyperenhancing hepatic masses in a young female. Largest in L lobe w hyperdensity (blood)➡️irreg contour w mild extracapsular hemorrhage #FOAMrad #radres #bodyrad #ERrad
Wetread Case 5
Hx: abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: abdominal pain
Please answer with professionally appropriate gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
@RyanBPetersonMD @ER_Rad_Hanna @RadioGyan Wetread Case 5
More images helpful?
@bwells80 @GayatriJoshiMD @HKhasawneh @tdelae
More images helpful?
@bwells80 @GayatriJoshiMD @HKhasawneh @tdelae
#WetreadCoW Case 3
Hx: Chest pain
Diagnosis? (it's August, we're starting easy! I'm giving you PA AND Lat! 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #bodyrad
Hx: Chest pain
Diagnosis? (it's August, we're starting easy! I'm giving you PA AND Lat! 😀)
Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #bodyrad
#WetreadCOW Case 3 Answer: Bochdalek Hernia
Large round opacity right lung base.
On frontal does NOT obscure anterior diaphragm or R heart border - ie posterior/RLL
On lateral DOES "obscure" entire posterior R diaphragm
#Chestrad #ERRad #radres #FOAMrad
Large round opacity right lung base.
On frontal does NOT obscure anterior diaphragm or R heart border - ie posterior/RLL
On lateral DOES "obscure" entire posterior R diaphragm
#Chestrad #ERRad #radres #FOAMrad
Wetread Summer Series Case 7
Hx: scrotal pain (we got a bit different hx from the pt...)
Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Hx: scrotal pain (we got a bit different hx from the pt...)
Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread SS Case 7 Answer: Penile Fracture
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
-Hx is typical
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
Wetread Summer Series Case 6
Hx: pelvic pain (pregnancy test pending 🙄)
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad #obgyn
Hx: pelvic pain (pregnancy test pending 🙄)
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad #obgyn
Here are some coned down views that may be helpful.
Wetread SS Case 6 Answer: Ruptured Heterotopic Pregnancy (IUP + ruptured ectopic pregnancy)
Too easy?🤔 No one likes OB?☹️🤣
+IUP generally excludes ectopic pregnancy. Here's the rare exception proving the rule. Labeled gif below for #radres. #WetreadCow #FOAMed #errad #bodyrad
Too easy?🤔 No one likes OB?☹️🤣
+IUP generally excludes ectopic pregnancy. Here's the rare exception proving the rule. Labeled gif below for #radres. #WetreadCow #FOAMed #errad #bodyrad
Wetread Summer Series Case 3
Clinician is here and wants to know what is this thing? Can you please help them out?
Professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Clinician is here and wants to know what is this thing? Can you please help them out?
Professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
Wetread SS Case 3 Help
Interestingly a paucity of answers on this one. 🤔
Perhaps the upright abdomen X-ray that went with the previous SUPINE view may be helpful? 😮
Interestingly a paucity of answers on this one. 🤔
Perhaps the upright abdomen X-ray that went with the previous SUPINE view may be helpful? 😮
#WetreadCow SS Case 3 Answer: the gastric fundus! (ie a LUQ pseudomass)
The gastric fundus is the most posterior aspect of the stomach so supine it collects fluid. Imaged en face it can appear as a round LUQ mass. CT shows exactly this
Yep, normal! 🤣 #FOAMrad #radres #bodyrad
The gastric fundus is the most posterior aspect of the stomach so supine it collects fluid. Imaged en face it can appear as a round LUQ mass. CT shows exactly this
Yep, normal! 🤣 #FOAMrad #radres #bodyrad
Wetread Case 37
Hx: abd/pelvic pain. Palpable mass
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD @ER_Rad_Hanna @StefanTigges @AdamSingerMD
Hx: abd/pelvic pain. Palpable mass
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD @ER_Rad_Hanna @StefanTigges @AdamSingerMD
Wetread Case 37 Answer: De Garengeot Hernia with acute appendicitis
A De Garengeot hernia is a femoral hernia containing the appendix. Here we have that but the appendix is hyperenhancing with wall thickening and surrounding fluid consistent with acute appendicitis. #FOAMrad
A De Garengeot hernia is a femoral hernia containing the appendix. Here we have that but the appendix is hyperenhancing with wall thickening and surrounding fluid consistent with acute appendicitis. #FOAMrad
De Garengeot hernias were named after a French surgeon from the 1700s. These are fairly rare (<3% of femoral hernias), with complicating appendicitis even more uncommon.
Wet Read Case 33
Special case for hitting 1000 followers! Thank you all!
Hx: abdominal pain
Any past medical hx? Diagnosis?
Professional gif responses only please. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD
Special case for hitting 1000 followers! Thank you all!
Hx: abdominal pain
Any past medical hx? Diagnosis?
Professional gif responses only please. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD
Another view may be helpful.
Hoping everyone is safe and healthy!
@StefanTigges @ER_Rad_Hanna @AdamSingerMD
Hoping everyone is safe and healthy!
@StefanTigges @ER_Rad_Hanna @AdamSingerMD
I think this is a tough one especially without windowing/leveling but what or should I say where is the abnormality?
Lots of high density material right? But hopefully these images show you that this material is NOT within the GI tract.
So what it is?
Lots of high density material right? But hopefully these images show you that this material is NOT within the GI tract.
So what it is?
Wetread Case 27
Hx: abdominal pain 🙀
Can you find the dx on this non-con exam?
Feel free to answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @ER_Rad_Hanna @RyanBPetersonMD
Hx: abdominal pain 🙀
Can you find the dx on this non-con exam?
Feel free to answer with professionally appropriate gif responses only. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @ER_Rad_Hanna @RyanBPetersonMD
@ER_Rad_Hanna @RyanBPetersonMD Answer: Right ovarian vein thrombosis (possibly thrombophlebitis)
Note the dilated, hyperdense right ovarian veins. Stranding suggests phlebitis (check with labs)
Note the dilated, hyperdense right ovarian veins. Stranding suggests phlebitis (check with labs)
@ER_Rad_Hanna @RyanBPetersonMD Blue arrow denotes the dilated, hypderdense ovarian veins.
Remember the anatomy - R gonadal vein drains into the IVC while the L gonadal vein drains into the L renal vein
More inferiorly you can see the abnormal veins surrounding the right ovary.
Remember the anatomy - R gonadal vein drains into the IVC while the L gonadal vein drains into the L renal vein
More inferiorly you can see the abnormal veins surrounding the right ovary.
