scholarly journals Incidental Hiatal Hernia on Chest X-ray

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Ahmed Farhat ◽  
Daryn Towle
Keyword(s):  
Hiatal Hernia ◽  
X Ray ◽  
Chest X Ray

scholarly journals Syncope Caused by Huge Hiatal Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Gabriel Vanerio
Keyword(s):  
Blood Pressure ◽  
Hiatal Hernia ◽  
Normal Sinus Rhythm ◽  
White Female ◽  
Loss Of Consciousness ◽  
X Ray ◽  
Normal Sinus ◽  
Carbonated Soft Drinks ◽  
Chest X Ray ◽  
Careful History

A 84-year-old white female had a brief loss of consciousness while playing bridge. A few minutes before the episode she had eaten pizza and significant amount of carbonated soft drinks. After recovery, her friends noticed that she was alert, but pale and sweating. Upon arrival at the emergency room, sitting blood pressure was 160/60 mmHg with a normal sinus rhythm. A chest X-Ray was performed, which was essential to make the diagnosis. The X-Ray showed a large retrocardiac opacity with air and liquid level compatible with a giant hiatus hernia. After a copious snack the hiatal hernia compressed the left atrium, decreasing the left cardiac output, elucidating the mechanism of the syncopal episode. In patients presenting with swallow syncope (particularly after a copious meal, validating the importance of a careful history), a chest X-Ray should be always be performed.

scholarly journals Giant hiatal hernia: beware of the supine ICU chest X-ray!

2017 ◽  
pp. bcr-2017-219668
Author(s):  
Vincent Bunel ◽  
Pierre Mordant ◽  
Lara Ribeiro ◽  
Bruno Crestani
Keyword(s):  
Hiatal Hernia ◽  
X Ray ◽  
Giant Hiatal Hernia ◽  
Chest X Ray

scholarly journals Rare Case of Upside-Down Stomach in Advanced Hiatal Hernia

2019 ◽  
Vol 7 (31) ◽  
pp. 52-55
Author(s):  
Nooraldin Merza ◽  
John Lung ◽  
Omar Bazzaz ◽  
Farah Aljuboory ◽  
Mazin Saadaldin
Keyword(s):  
Myelodysplastic Syndrome ◽  
Hiatal Hernia ◽  
Posterior Mediastinum ◽  
Surgical Interventions ◽  
X Ray ◽  
Type Iv ◽  
Acute Distress ◽  
History Of ◽  
Chest X Ray ◽  
High Degree

Upside-down stomach (UDS) is the rarest type of hiatal hernia, which is migration and volvulus of the entire stomach into the posterior mediastinum. We present a case of a patient with chronic gastroesophageal reflux disease (GERD) and myelodysplastic syndrome diagnosed 3 months ago, admitted for syncope and signs of aspiration pneumonia, with incidental findings of hiatal hernia type IV with UDS. A 74-year-old Caucasian male presented to the emergency department complaining of syncope. The patient had been experiencing generalized weakness and a history of multiple falls without head injury. Upon physical examination the patient was not in acute distress. The chest x-ray was suspicious for pneumonia. Upon admission, the patient had a hemoglobin level of 6.8 g/dl. He was transfused with multiple units of packed RBCs during his stay for treatment of his anemia secondary to myelodysplastic syndrome. A CT thorax revealed a large hiatal hernia type IV with UDS within the posterior mediastinum. Surgical intervention was recommended, but the patient elected to postpone surgery due to no symptoms and was discharged. The patient died one month later from complications related to myelodysplastic syndrome. The diagnosis of upside down stomach can be suspected on chest X-ray but requires a high degree of suspicion. All surgical interventions for UDS must consider the overall prognosis of the patient and estimated improved quality of life before repair, especially with the high recurrence of UDS even after surgical repair.  

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.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

Hubungan antara Luas Lesi pada Foto Toraks Penderita TB Paru Dewasa yang Memiliki Riwayat Diabetes Melitus dengan Indeks Massa Tubuh di Rumah Sakit Hasan Sadikin Bandung

2016 ◽  
Vol 1 (3) ◽  
pp. 138-144
Author(s):  
Ina Edwina ◽  
Rista D Soetikno ◽  
Irma H Hikmat
Keyword(s):  
Chest Radiograph ◽  
Chi Square ◽  
Pulmonary Tb ◽  
X Ray ◽  
Consecutive Sampling ◽  
Close Relationship ◽  
Chi Square Test ◽  
Chest X Ray ◽  
The Relationship ◽  
Diabetes Melitus

Background: Tuberculosis (TB) and diabetes mellitus (DM) prevalence rates are increasing rapidly, especially in developing countries like Indonesia. There is a relationship between TB and DM that are very prominent, which is the prevalence of pulmonary TB with DM increased by 20 times compared with pulmonary TB without diabetes. Chest X-ray picture of TB patients with DM is atypical lesion. However, there are contradictories of pulmonary TB lesion on chest radiograph of DM patients. Nutritional status has a close relationship with the morbidity of DM, as well as TB.Objectives: The purpose of this study was to determine the relationship between the lesions of TB on the chest radiograph of patients who su?er from DM with their Body Mass Index (BMI) in Hasan Sadikin Hospital Bandung.Material and Methods: The study was conducted in Department of Radiology RSHS Bandung between October 2014 - February 2015. We did a consecutive sampling of chest radiograph and IMT of DM patients with clinical diagnosis of TB, then the data was analysed by Chi Square test to determine the relationship between degree of lesions on chest radiograph of pulmonary TB on patients who have DM with their BMI.Results: The results showed that adult patients with active pulmonary TB with DM mostly in the range of age 51-70 years old, equal to 62.22%, with the highest gender in men, equal to 60%. Chest radiograph of TB in patients with DM are mostly seen in people who are obese, which is 40% and the vast majority of lesions are minimal lesions that is equal to 40%.Conclusions: There is a signifcant association between pulmonary TB lesion degree with BMI, with p = 0.03

Chest X-Ray Image Classification on Common Thorax Diseases using GLCM and AlexNet Deep Features

2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Tengku Afiah Mardhiah Tengku Zainul Akmal ◽  
Joel Chia Ming Than ◽  
Haslailee Abdullah ◽  
Norliza Mohd Noor
Keyword(s):  
Image Classification ◽  
X Ray ◽  
Chest X Ray
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