Thank you so much means a lot Yes I m trying to upload as much as possible but it’s getting difficult because of the busy schedule of final year. Insha Allah will be uploading soon.
Mashaa'Allah you explained the topic so amazingly.. 1 question is you said we will give gastrograffin only in thoracic esophageal perforation but how will we exactly know that it's thoracic and not abdominal perforation? on the basis of clinical features ?
Jazak Allah We will clinically diagnosed the case 1st E.G if it’s thoracic perforation , patient will complain chest pain & shortness of breath If it’s abdominal perforation, the presenting complain of patient will be epigastric pain & abdominal rigidity . Then we will do the simple(non contrast) X Ray ( initial investigation of choice) This x ray will also help us to rule out E.G if it’s thoracic perforation, on x ray we will be able to see air in mediastinum If it’s abdominal perforation , air under diaphragm is seen. Now we can do the contrast study( if needed) to confirm our diagnosis Though 95% of our diagnosis will be made on x ray & clinical findings , to be more clear we do contrast study. And if CT scan availability is there , so CT chest is investigation of choice. Hope you got your answer.
Perfect perfect perfect🔥
This channel deserves a million
Sir please keep uploading
Systemic pathology
Thank you so much means a lot
Yes I m trying to upload as much as possible but it’s getting difficult because of the busy schedule of final year.
Insha Allah will be uploading soon.
Keep up the Good work
Good explanation 👍
Thank You.
Superb 🔥
Thank you
So great ❤
Thank you
Keep it up
Thank you brother
Keep up the good work ❤️👍🏻
Thank you brother
Amazing work ❤ can you pls mention your reference book
It’s “bailey and love “( Text Book) and
Irfan Masood ( short book)
Mashaa'Allah you explained the topic so amazingly.. 1 question is you said we will give gastrograffin only in thoracic esophageal perforation but how will we exactly know that it's thoracic and not abdominal perforation? on the basis of clinical features ?
Jazak Allah
We will clinically diagnosed the case 1st
E.G if it’s thoracic perforation , patient will complain chest pain & shortness of breath
If it’s abdominal perforation, the presenting complain of patient will be epigastric pain & abdominal rigidity .
Then we will do the simple(non contrast) X Ray ( initial investigation of choice)
This x ray will also help us to rule out
E.G if it’s thoracic perforation, on x ray we will be able to see air in mediastinum
If it’s abdominal perforation , air under diaphragm is seen.
Now we can do the contrast study( if needed) to confirm our diagnosis
Though 95% of our diagnosis will be made on x ray & clinical findings , to be more clear we do contrast study.
And if CT scan availability is there , so CT chest is investigation of choice.
Hope you got your answer.
@@drsaadqureshi6734 thank you so much👍