scholarly journals Chest X-Ray Assessment is Incomplete without the Lateral View [Response to Letter]

2021 ◽  
Vol Volume 12 ◽  
pp. 287-288
Author(s):  
Michal Tombs ◽  
Saif Sait
Keyword(s):  
Lateral View ◽  
X Ray ◽  
Chest X Ray

scholarly journals The Hanging Chin Sign As A Mortality Predictor In Geriatric Patients At The Emergency Department: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Anneloes NJ Huijgens ◽  
Laurens J van Baardewijk ◽  
Carolina JPW Keijsers
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Geriatric Patients ◽  
Lateral View ◽  
X Ray ◽  
Hospital Patients ◽  
Chest X Ray

Abstract BACKGROUND: At the emergency department, there is a need for an instrument which is quick and easy to use to identify geriatric patients with the highest risk of mortality. The so- called ‘hanging chin sign’, meaning that the mandibula is seen to project over one or more ribs on the chest X-ray, could be such an instrument. This study aims to investigate whether the hanging chin sign is a predictor of mortality in geriatric patients admitted through the emergency department. METHODS: We performed an observational retrospective cohort study in a Dutch teaching hospital. Patients of ≥ 65 years who were admitted to the geriatric ward following an emergency department visit were included. The primary outcome of this study was mortality. Secondary outcomes included the length of admission, discharge destination and the reliability compared to patient-related variables and the APOP screener.RESULTS: 396 patients were included in the analysis. Mean follow up was 300 days; 207 patients (52%) died during follow up. The hanging chin sign was present in 85 patients (21%). Patients with the hanging chin sign have a significantly higher mortality risk during admission (OR 2.94 (1.61 to 5.39), p < 0.001), within 30 days (OR 2.49 (1.44 to 4.31), p = 0.001), within 90 days (OR 2.16 (1.31 to 3.56), p = 0.002) and within end of follow up (OR 2.87 (1.70 to 4.84),p < 0.001). A chest X-ray without a PA view or lateral view was also associated with mortality. This technical detail of the chest x-ray and the hanging chin sign both showed a stronger association with mortality than patient-related variables or the APOP screener. CONCLUSIONS: The hanging chin sign and other details of the chest x-ray were strong predictors of mortality in geriatric patients presenting at the emergency department. Compared to other known predictors, they seem to do even better in predicting mortality.

scholarly journals The forgotten view: Chest X-ray - Lateral view

2017 ◽  
Vol 22 ◽  
pp. 257-259
Author(s):  
Abraham M. Ittyachen ◽  
Anuroopa Vijayan ◽  
Megha Isac
Keyword(s):  
Lateral View ◽  
X Ray ◽  
Chest X Ray

scholarly journals Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

2017 ◽  
Vol 41 (4) ◽  
pp. 518-521 ◽  
Author(s):  
Michael Thompson ◽  
Dallin Johansen ◽  
Russell Stoner ◽  
Allison Jarstad ◽  
Robert Sorrells ◽  
...  
Keyword(s):  
Medical Students ◽  
Imaging Study ◽  
Lateral View ◽  
Frontal View ◽  
Chest Film ◽  
X Ray ◽  
Self Study ◽  
Lateral Film ◽  
Chest X Ray ◽  
Lateral Chest

The chest X-ray is the most commonly performed medical imaging study; however, the lateral chest film intimidates many physicians and medical students. The lateral view is more difficult to interpret than the frontal view but provides important information that is either not visible or not as evident on frontal view, and inability to read it may lead to missed diagnoses and more expensive imaging. The objective of this study was to assess a novel mnemonic-based approach to teaching medical students to proficiently read a lateral film using a prospective pilot study. A clinical faculty radiologist taught two groups of second-year medical students to read a lateral chest X-ray. One group learned a novel mnemonic-based method (MUM), and the other cohort performed directed web-based self-study (STMM). Each cohort was given a pre- and postassessment, and their performance was analyzed. A total of n = 29 students participated with n = 14 being taught the mnemonic method. The MUM group significantly ( P = 0.001) improved their score vs. the STMM group This study demonstrates students can quickly and effectively learn to read a lateral chest film using this novel mnemonic.

scholarly journals Hamman’s syndrome: a case report of spontaneous pneumomediastinum after vaginal delivery

2020 ◽  
Vol 9 (4) ◽  
pp. 1735
Author(s):  
Marco Gentile ◽  
Mariaconcetta Zinna ◽  
Antonio Costanza ◽  
Andrea Remo ◽  
Giuseppe Sala ◽  
...  
Keyword(s):  
Rare Complication ◽  
Rare Condition ◽  
Medical Problem ◽  
Lateral View ◽  
X Ray ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Spontaneous Pneumomediastinum ◽  
Second Stage Of Labour ◽  
Chest X Ray

Spontaneous pneumediastinum (Hamman’s syndrome) is a rare pathology defined as the presence of free air in the mediastinum with subcutaneous emphysema without trauma or medical problem. It is also a rare complication of labour and delivery and it usually occurs in the second stage of labour. A twenty-six-year-old primigravida presented to our hospital at 39 weeks and 6 days in spontaneous labour. Two hours following the delivery the patient developed neck tightness and chest tenderness with palpation. Chest X-ray and CT scan revealed pneumomediastinum extending into the soft tissue of the neck. A conservative management was performed. Spontaneous pneumomediastinum is a rare condition with a reported incidence of less than 1:44000 and in the setting of pregnancy or labor 1:100000. Regarding pregnancy, the valsalva maneuvers produced in the second stage of labor has been implicated in the development of spontaneous pneumomediastinum. Chest X-ray (posteroanterior and lateral view) is the most important test to confirm the diagnosis. The Hamman’s syndrome has usually a benign course and the management in often conservative. A timely diagnosis of Hamman’s syndrome is necessary for patient safety and correct management, but most cases have a self-limiting course.

Lateral view of chest x-ray in long-term follow-up of Kawasaki disease as a useful screening method for the cardiac sequela

1983 ◽  
Vol 25 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Toshihiro Ino ◽  
Hiraku Nishimoto ◽  
Masazumi Iwahara ◽  
Masashi Abe ◽  
Hiroshi Nittono
Keyword(s):  
Kawasaki Disease ◽  
Screening Method ◽  
Lateral View ◽  
X Ray ◽  
Long Term Follow Up ◽  
Chest X Ray

scholarly journals Bronchogenic Cyst

2014 ◽  
Vol 1 (2) ◽  
pp. 106-110
Author(s):  
Mirza Kamrul Zahid ◽  
Anwarul Anam Kibria ◽  
AKM Razzaque ◽  
Md. Shamsul Alam ◽  
Shahinur Rahman ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Bronchogenic Cyst ◽  
Lateral View ◽  
Common Symptom ◽  
Diagnostic Purpose ◽  
X Ray ◽  
Chest X Ray ◽  
Age Range ◽  
Bronchogenic Cysts ◽  
Surgical Unit

Introduction: Bronchogenic cysts are congenital anomalies caused by abnormal bronchial development from the primitive ventral foregut, which arises from cells isolated from the main pulmonary branching when lung bud separates from the primitive gut.Materials & Methods: We reviewed all pediatric patients with bronchogenic cyst who underwent surgery in our thoracic surgical unit- III during 2007-2009. They comprised 1 male and 5 female patients, with an age range of 2 to 17 years (mean age 5.66 years).Results: Symptoms were present in 5 patients (83%), cough was the most common symptom. Other symptoms included purulent sputum, chest pain, fever, dyspnea, anorexia and/or weight loss, and haemoptysis. All patients underwent chest x-ray posteroanterior and lateral view and CT scan of chest for diagnostic purpose. Two of the cysts were mediastinal and rests were intraparenchymal. Surgery performed were resection (2), lobectomy (4). Complications of bronchogenic cysts occurred in 4 patients (67%). In 1 patient (Patient 2), a ruptured, infected, parenchymal bronchogenic cyst caused pleuritis and empyemaThere was no operative deaths & no in-hospital mortality.Conclusions: We conclude that one should go for surgical resection of all suspected bronchogenic cysts in operable candidates.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19524

Tuberculosis: Diagnostic Challenges in Rural Africa

Praxis ◽  
2019 ◽  
Vol 108 (15) ◽  
pp. 991-996
Author(s):  
Ngisi Masawa ◽  
Farida Bani ◽  
Robert Ndege
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
X Ray ◽  
Molecular Tests ◽  
Rural Settings ◽  
Chest X Ray ◽  
Screening Questions ◽  
Rural Africa ◽  
Tb Diagnostics ◽  
Strip Test ◽  
Urine Strip

Abstract. Tuberculosis (TB) remains among the top 10 infectious diseases with highest mortality globally since the 1990s despite effective chemotherapy. Among 10 million patients that fell ill with tuberculosis in the year 2017, 36 % were undiagnosed or detected and not reported; the number goes as high as 55 % in Tanzania, showing that the diagnosis of TB is a big challenge in the developing countries. There have been great advancements in TB diagnostics with introduction of the molecular tests such as Xpert MTB/RIF, loop-mediated isothermal amplification, lipoarabinomannan urine strip test, and molecular line-probe assays. However, most of the hospitals in Tanzania still rely on the TB score chart in children, the WHO screening questions in adults, acid-fast bacilli and chest x-ray for the diagnosis of TB. Xpert MTB/RIF has been rolled-out but remains a challenge in settings where the samples for testing must be transported over many kilometers. Imaging by sonography – nowadays widely available even in rural settings of Tanzania – has been shown to be a useful tool in the diagnosis of extrapulmonary tuberculosis. Despite all the efforts and new diagnostics, 30–50 % of patients in high-burden TB countries are still empirically treated for tuberculosis. More efforts need to be placed if we are to reduce the death toll by 90 % until 2030.

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