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Post by pbruss on Apr 19, 2014 22:42:00 GMT -5
50 year old female ESRD on dialysis, no prior surgical history, ABD pain, vomiting, no BM for 2 days. VSS, temp 100.5. diffuse ABD tenderness and firm, no garding or rebound. decrease BS. non toxic in apearance. abdominal x-rays are attached and reported as normal by radiologist. what is your opinion? the arrows are not pointing to any abnormality, just there when i took the picture |
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Post by pbruss on Apr 19, 2014 22:42:48 GMT -5
. Attachments:
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Post by slevittMD on Apr 20, 2014 20:07:11 GMT -5
The mediastinum looks awfully wide to me, but I'm thinking there's probably something else there...
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Post by pbruss on Apr 21, 2014 3:05:14 GMT -5
there is something else that is very very bad. anybody see it?
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Post by tbarkley on Apr 21, 2014 7:04:52 GMT -5
there is something else that is very very bad. anybody see it? I think I might see diverticulitis, a tic with bowel thickening in the LLQ..? |
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Post by tbarkley on Apr 21, 2014 7:05:53 GMT -5
I think I might see diverticulitis, a tic with bowel thickening in the LLQ..?
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Post by drizsak on Apr 21, 2014 8:27:33 GMT -5
I will take a stab, do I see extra Intestinal air on the abdominal films?
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Post by slevittMD on Apr 21, 2014 15:50:06 GMT -5
It looks like there's a band of air, but I don't know how it would get in that distribution
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Post by Bjs04f on Apr 21, 2014 17:38:58 GMT -5
retroperitoneal free air could band like that possibly. Not related to ESRD, but perf duodenal ulcer, diverticulitis with perforation. Any surgical interventions recently
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Post by kemple on Apr 23, 2014 2:28:54 GMT -5
To me it looks like a band of air tracking up the esophagus especially on image #3. With vomiting concern for Borehave or some sort of diaphragmatic rupture.
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