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Hip Fracture | Question

Which of the following is true regarding of the hip fracture? A. The highest incidence of avascular necrosis (AVN) occurs in patients with inteetrochantic fractures. B. Isolated fractures  of the lesser trochanter are most commonly seen in young adults. C. Femoral nerve block is contraindicated the setting of a hip fracture. D. The development of acute respiratory disstress in a patient witha an acute femoral shaft Fracture but no other trauma is most likely due to loss blood into the soft tissues of the tigh. Which the answered.

Hiatal hernia

Hiatal hernia, midline hemithorax  with aorta sclerosis ? conginetal heart diseases.

Cough fever dyspnea

Middle lobe wedge shaped subpleural opacity, possibly resembling a post-infarction pneumonia (Hampton's sign) related to advanced age, clinical features, long smoking history and COPD. hyperinflated lungs wedge shape opacity. pleural base dd with history of fever and cough consolidation is first to be consider 2nd Hampton hump of PE need CT ECHO ABG  pt with COPD sputum for stain and culture d-dimmer LLdoppler U/S then investigate accordingly treat the diagnosis

Pericardial and pleura effusion

Global pericardial effusion (250-500ml) related to its thickness (10-20mm) associated with left moderate pleural effusion and adjacent lung distelectasis (posterobasal seg.) possibly in the setting of CHF (congestive heart failure) with left lung impairment. Minimal right pleural effusion.

Gastric findings

Case capsule retention Gastric ulcer with diverticulae

Chest x ray

5 days new born difficult breathing Right sided pneumothorax with right hemidiaphragm depression and left mediastinal shift. Oblique CXR. days newborn with difficult breathing Right sided pneumothorax with right hemidiaphragm depression and left mediastinal shift. Oblique CXR. Massive pneumothorax with collapsed lung, pushing the cardiac shadow and mediastinum to the left.

Distention abdomen

A large cystic mass arising from right ovary with multiple internal septations which is pushing the bladder towards left S/O Mucinous Cystadenoma/ Cyst adenocarcinoma.