مواضيع المحاضرة: Answers
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Q1
1.calasia cardia
Narrowing in the distal part of the esophagus which is Constant , Short length , Regular and smooth , No shouldering sign the distal end is Tapering (Tip of pencil , cigar shape) Under left dome of diaphragm the dilation of the osophagus is Sac like in the proximal part , Undulating or spiky out line , Non- homogeneity of Barium due to food particles , Air Barium level in CXR shows , widening of mediastinum , Absence of fundal gas shadow , Basal fibrosis in lungs due to repeated aspiration pneumoni .

2. infiltrative ca.

Localized or generalized narrowing of the stomach rigid in appearance with shoulding sign on either sided aspect of the narrowing .

3.manifestation of the early rheumatoid arthritis

Peri articular soft tissue swelling (edema, synovial congestion)
Peri articular osteoporosis in symmetrical distribution
Preferred sites of early involvement
Hands: 2nd and 3rd MCP joint
Feet: 4th and 5th MTP joint

3. Skull XR changes of acromegaly

1.Thickening of the skull vault &diplioc space
2.Thickening of the posterior occipital tubercle
3.Prognathism
4.Froehead bossing with enlargement of the frontal sinuses also with enlargement of the mastiod air cell .
5.Balloning with Double floor appearance of the sella tursica


4. Horse shoe kidney on IVU
The kidney low in position , the axis of the kidneys parallel to the axis of the spine & close to it with malrotation the calyces rotated medially , the pelvis & ureter located lateral & anterior in position , the lower pole of the 2 kidneys fused mostly .

5.renal stone causing hydronephrosis

Echogenic stone is seen with acoustic reflective shadow within the upper uretrer or PUJ causing obstruction & dilation of the renal pelvis , in which dilated renal pelvis appear as an echoic area in the center of the kidney surrounded periphery by the renal tissue .

Q2 .

1.PUJ obstruction .
2.uretrocele .
3.adult polycystic kidney disease .
4.fibrous dysplasia .
5.osteomalacia .
6.giant cell tumor.
7.solitary bone cyst .
8.ulcerative colitis .
9.thalacimia .
10.osophageal web.
11.osteosarcoma .
12.Ankylosing spondylitis
13.intussception
14.duedenal atresia
15.ulcerative colitis


Q3 .define
1. HYPERLINK "http://radiopaedia.org/articles/shenton-line" Shenton line is drawn along the inferior border of the superior pubic ramus and should continue laterally along the infero medial aspect of the proximal femur as a smooth line. If there is supero lateral migration of the proximal femur due to DDH then this line will be discontinuous .
2. Spondylolisthesis is a term denoting fore ward or backward movement of a vertebra relative to the vertebral segment below, typically due to HYPERLINK "http://radiopaedia.org/articles/spondylolysis" spondylolysis (pars interarticularis defects) .
3. Potts disease also known as tuberculous spondylitis, refers to vertebral body and intervertebral disc involvement with tuberculosis (TB.
4.uretrocele it is a dilation of the distal part of the ureters ( intra vesical portion ) , the dilated ureter is rounded or oval in shape giving the cobra head appearance in IVU examination leading to hydronephrosis .
5.bladder extrophy congenital anomaly representing herniation of the bladder down ward become low in position with separation of the symphysis pubis widely seen in plain XR of the pelvis .
Q4. T or F
1.T
2.F
3.F
4.F
5.T
6.T
7.T
8.T
9.F
10.F
11.T
12.F
13.T
14.F
15.F
16.F
17.F
18.T
19.F
20.F





رفعت المحاضرة من قبل: Abdalmalik Abdullateef
المشاهدات: لقد قام 60 عضواً و 537 زائراً بقراءة هذه المحاضرة








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