VALVULAR HEART Diseases Prof. Mohammed Arafah MB,BS FACP FRCPC FACC.
Gas Under Diaphragm - Final Year MB BS Lecture
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Transcript of Gas Under Diaphragm - Final Year MB BS Lecture
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By;Mr. Adeel ABBAS
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Normal Chest X-Ray
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Enhanced CXR
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Is Gas Under Diaphragm Abnormal?
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Gas Under Diaphragm Is Not Always
Dangerous Because It Can Physiologically Be
The Gas …
In Fundus Of The Stomach Or
In Large Intestine…
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Is The Gas Under Diaphragm Dangerous?
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The Gas Itself Isn't Dangerous, But The Fact
That Enteric Content Is Leaking Out Along
With It Is Deadly…
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Gas in Fundus of Stomach…
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Gas in the Fundus of Stomach…
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Gas Under Both Domes of Diaphragm.
Gas in Large Intestine.
Gas in Fundus of Stomach.
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What are the Causes ?????
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1. Perforation of Intestine.
What are the Causes ?????
2. Gas Forming Organism.
3. Iatrogenic.
4. Pervaginum.
5. Interposition of Bowel Between Liver & Diaghram.
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Free Air Can Only Get To The Point Of Being
"Under The Diaphragm" On An Upright X-ray
(Chest X-ray P.A).
If You Do A Ct Scan On A Patient Who Is Lying
Down, The Air Will Go To The Highest Point Which
Is Under The Umbilicus.
The Detection Of Free Air Is Best Done With An
Chest X-ray Series.
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Hair –Line Gas
Under the Right
Dome of Diaphragm.
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Gas in Hepatic
Flexure Under the
Right Dome of
Diaphragm.
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Management ?
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Principles of Management;
Resuscitation.
Decontamination of Peritoneal Cavity.
Repair of Perforation OR Diversion.
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Gas in Fundus of Stomach in Dextro-Cardia
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Hair –Line Gas
Under the Left Dome
of Diaphragm in
Dextro-Cardia.
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