Diseases of the Esophagus

Pyriform Sinus Diverticula

Does the patient choke or cough while eating or drinking Does food get stuck when the patients is eating Does the patient complain about a lump in the throat, regurgitation of undigested food, or bad breath Is swallowing painful for the patient Has the patient had heartburn for extended periods and his grandchildren have been complaining about grandpa's bad breath. He has brought one of them with him to help out with the test. Paul is just getting his first instructions on the art of...

Diseases of the Large Bowel

Normal Radiology Large Bowel

Is the patient sufficiently prepared Check the radiograph of the abdomen before you even think about putting in a rectal tube Is there an ileus, a fistula, or an obstruction of the intestinal lumen, or is the examination scheduled only a few days prior to abdominal surgery If yes, only water-soluble iodinated contrast medium may be used. Trudy Herbgarden 55 complains about a change of bowel habits for the last few months. Her primary care physician has done a test of the stool for occult...

Ankylosing Spondylitis

Bamboo Spine

Fig. 8.44a The right iliosacral joint is already fused in its lower part. The left iliosacral joint shows pronounced periarticular sclerosis along erosions of the bone arrow . This is a rather typical pattern of ankylosing spondylitis. b In the final phase and with maximal expression of Bechterew disease as ankylosing spondylitis is also called , the paraspinous ligaments become ossified, giving rise to the so-called bamboo spine. The intervertebral spaces are completely bridged by ossified...

Degenerative Brain Disease

Binswanger Disease Radiology

A Dementia of the Alzheimer type b Pick disease a Dementia of the Alzheimer type b Pick disease Fig. 11.42a Inner and outer CSF spaces are much to wide for the age of this patient 65 and indicate generalized atrophy of the brain as seen in Alzheimer disease. b In Pick disease, parenchymal atrophy is limited to the frontal lobe. c Inner and outer CSF spaces are wide and the periventricular parenchyma is lower than usual in density. A small lacunar infarct is seen in the left basal ganglia arrow...

Patient with Acute Abdominal Pain

Sentinel Loop Sign

Is the patient standing up or positioned on the left side, and is the x-ray beam horizontal Do you see air outside of the gastrointestinal tract Is the air within the gastrointestinal tract normally distributed Are sentinel loops with air-fluid levels of differing height present Are there characteristic calcifications present The paramedics found Melissa Stonegrave 51 helpless on a park bench. Passersby had noticed her as she was lying on her side wincing and calling for help. The paramedics...