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clinical game

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Yaxya:
Salam,

Let's play this game: I will mention the diagnostic procedure and you have to say when we have to order it.. every one has to say only ONE thing

REMEMBER: I ask and you answer. I love to be a teacher Laughing out loud

himmmm

Let's Start whin an easy and important one:
chest X-ray

PrincessMuni:
i guess this is for u drs
am out lol

Yaxya:
Respiratory Indications:
Infection - to exclude pneumonia
Inhaled foreign body
most lodge in intrathoracic tracheobronchial tree.
Need films in full inspiration and expiration to demonstrate air trapping or collapse.
Chest trauma
for air leak, haemothorax or wide mediastinum.
Rib views rarely indicated.
Pneumothorax - full inspiratory films adequate
Asthma/ Bronchiolitis - Consider only if:
diagnosis unclear
SEVERE attack - not responding to standard therapy
  possible air leak.
NB. Focal signs +/- fever are most likely due to mucus plug and viral illness rather than pneumonia.

Cardiac Indications:
Clinical cardiomegaly or heart failure.
Large thymic shadow is normal under the age of 2 years.
Normal cardio-thoracic ratio 0.5 ( infants up to 0.6 )
Heart murmurs - If careful examination suggests innocent murmur, no need for urgent CXR - but arrange appropriate follow up.
Hypertension - CXR is seldom useful.

Neonates (<6wks):
Septic screen - CXR indicated unless clear focus elsewhere
Respiratory distress - to exclude congestive cardiac failure or cardiomegaly

Yaxya:
what about CBC (complete blood count)when we have to order it.. every one has to say only ONE thing

Yaxya:
let me start we order CBC to differentiate between different types of anemias
what else?

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