I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, January 7, 2016
Barium
This barium swallow is in a patient with a history of trauma.
yes, good catch! that's an important point - if you suspect GI tract injury, gastrograffin is better than barium. For this case, I found the picture with barium on UpToDate, and made up a case to go with it (deciding with trauma because of the epidemiology of diaphgramagic hernias) and totally missed your point. thanks for correcting it!
Are we lookin at a hiatal hernia?
ReplyDeleteyes you're right, it's a diaphragmatic rupture with a hiatal hernia
ReplyDelete-
Barium
The contrast outlines the hepatic flexture herniated through the dome of the left hemidiaphragm. The white arrows indicate the hiatus.
Source: UpToDate.
Just curious..WIth the history of trauma, what was the rationale for initiating a study with barium?
ReplyDeleteyes, good catch! that's an important point - if you suspect GI tract injury, gastrograffin is better than barium. For this case, I found the picture with barium on UpToDate, and made up a case to go with it (deciding with trauma because of the epidemiology of diaphgramagic hernias) and totally missed your point. thanks for correcting it!
ReplyDeleteThank you!
ReplyDelete