BBC approach: Bowel and other organs: small bowel, large bowel, lungs, liver, gallbladder, stomach, psoas muscles, kidneys, spleen and bladder. Bones: ribs, lumbar vertebrae, sacrum, coccyx, pelvis and proximal femurs. Calcification and artefact (e.g. renal stones)
This amazing video explains almost everything related to Abdominal X-rays and the pathology involved, faster and better than a textbook. Thank you for the effort. The" 3-6-9 rule" is essential knowledge.
Fantastic! The video provides concise and highly valuable information. I appreciate the time and dedication you put into creating it. People like you make a difference.
Just found your channel and I am sooo thankful!! This was such a great video and answered all of my questions. Looking forward to watching all of your other Videos! Immediately subscribed and liked :)
Thanks Dr. Strong. Even for you, with my high expectations for your videos, this was truly outstanding. I love the way you show a radiograph of a finding, then immediately have a picture pop up that shows the object that caused the finding or overlying the finding to show why it is named that. Your choice of topics to mention and the amount of time allotted are all just right. I wish I'd had this in my intern year! Thanks.
Thank you so much for these videos. The only thing that would make them even better is the findings' association with a specific clinical scenario. We are often told not to treat the investigation results but treat the patient. Having a few clinical correlates with the various findings would bring the concept together. Thank you so much for your time and energy.
Excellent video, Dr. Strong. It'd be interesting to see your take on common abnormalities compared on different imaging modalities, and the decision-making involved in choosing which would be most appropriate to obtain.
Abdominal xrays are a topic medical students find pretty challenging, but you explained this so clearly! Your videos have inspired me to make own videos more succinct. Keep up the great content 👌
4:49 thank you Dr Strong for another brilliant video Just one question; my specialty area is oncology & I often order AXR to assess stool burden; you mention that you don’t use AXR for this indication How do you assess stool burden? Regards EN
I’m a bit confused as to weather to request an AXR when suspecting a SBO. It is listed as an indication for ordering an AXR but all the surgical trainees say not to order one. Their reasoning is if the AXR shows what might be a SBO, you end up doing a CT with oral contrast to evaluate/treat it; if the AXR doesn’t show a SBO, it doesn’t rule it out either so you end up doing a CT regardless of what the AXR shows. So what is an AXR actually useful for in such situations?
To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray. However, some intestinal obstructions can't be seen using standard X-rays. 👍
So would they able to see your abdomen doing an ultra sound! My doctor ordered a CT scan but I am terrified of doing it. I am also scared and would never do an MRI.
Do you mean your prof has referred students to my video, covers the same general material as I do, or that your prof literally plagiarized my presentation?
please cite the source for this line: "it's been estimated that about half of deaths from button battery ingestion occur due to someone misidentifying the battery on x-ray as a coin" This seems unlikely to me as a button battery will normally have discharged and damaged the esophageal mucosa within 15 minutes (Gerner et al, 2019). but idk please cite.
The US Poison Control has a public registry listing details of 70+ cases: www.poison.org/battery/FatalCases Most patients don't die from the primary rupture of the esophageal mucosa and subsequent infection; instead, most die days later from massive hemorrhage due to the development of fistulas between the esophagus and the aorta or other blood vessels.
@@StrongMed wow thanks so much for the reply. While ive got you here, just want to say I love your videos!! I looked more into the statement I quoted from you above, and it does seem to be at least partially incorrect (youre totes right about my original contention though). However, you specify that the cause of death of half of button battery ingestions is misidentifying the battery as a coin. But here is a quote from the 2018 review published in BJR by Semple et al: "[a 2010 examination of the National Poison Data System] identified 13 fatalities and 73 major complications [of button battery ingestion]. The diagnosis was initially missed in 7 of the fatal cases and 19 of the cases with major complication, most often through failure of recognition that foreign body ingestion had occurred at all. Perhaps more significantly to radiologists, 4.5% of ingested batteries in the significant harm group were initially misdiagnosed as ingested coins on radiography" its actually only 5% that were misidentified as coins, about half are just due to plain not seeing it.
On the upright film, the "air fluid levels" are the horizontal lines within the small intestines in which there is black (air) on top, and white (fluid) on the bottom. They are primarily located in the patient's upper left (the upper right for the viewer). There are roughly 8 of them in this particular X-ray (2 per individual loop of bowel).
AI disagree with the PA chest being best for pneumoperitoneum --- if properly and accurately positioned ...the upright abdomen is great for this condition. The entire diaphragm should be seen on an Upright image. I do my adult AP upright abdomens at a SID of 72" to make sure all anatomy is present and not clipped - especially the diaphragm.
I'm very sorry, but I cannot give specific, individualized medical advice on here. If you have concerns about a symptom you are experiencing, I recommend you speak with your own physician.
BBC approach:
Bowel and other organs: small bowel, large bowel, lungs, liver, gallbladder, stomach, psoas muscles, kidneys, spleen and bladder.
Bones: ribs, lumbar vertebrae, sacrum, coccyx, pelvis and proximal femurs.
Calcification and artefact (e.g. renal stones)
This amazing video explains almost everything related to Abdominal X-rays and the pathology involved, faster and better than a textbook. Thank you for the effort. The" 3-6-9 rule" is essential knowledge.
instaBlaster
Such perfect timing, I'm studying abdominal radio right now!! Thank you for fantastic videos, I learn much more from you than from my med school
My God, I'm in gratitude for you sharing your expertise online. Thank you!!
Beautiful timing! Next week abdominal surgery exams!
Thankyouuu sooo muchh !! Im so grateful fr this video... Im having my OSCE in 2 days... and this was the best revision fr me!
That’s amazing video.. that obvious ,easy to understand and organized explanation .. thank you from my bottom of my heart 😊
Fantastic! The video provides concise and highly valuable information. I appreciate the time and dedication you put into creating it. People like you make a difference.
I was waiting it for a long time.
Yeah, I know. I think viewers first suggested it ~4-5 years ago! It feels nice to finally have it done.
MaMa
The best ever teaching video about abdominal x-ray , altogether very helpful , thanks a lot sir 🙏🏻🙏🏻💐💐
Just found your channel and I am sooo thankful!! This was such a great video and answered all of my questions. Looking forward to watching all of your other Videos! Immediately subscribed and liked :)
Thanks Dr. Strong. Even for you, with my high expectations for your videos, this was truly outstanding. I love the way you show a radiograph of a finding, then immediately have a picture pop up that shows the object that caused the finding or overlying the finding to show why it is named that. Your choice of topics to mention and the amount of time allotted are all just right. I wish I'd had this in my intern year! Thanks.
Thanks Dr. Gowen! I hope intern orientation / first week is going well for your program!
Amazing as always! Thank you, Dr Strong. I always look forward to your videos.
Thank you so much for these videos. The only thing that would make them even better is the findings' association with a specific clinical scenario. We are often told not to treat the investigation results but treat the patient. Having a few clinical correlates with the various findings would bring the concept together. Thank you so much for your time and energy.
just as i was thinking it would be amazing if Dr.Strong also made abdominal ones. Thank u a lot!
Excellent explanation . I learnt a lot. Thank you
Your CXR series was top notch thanks for making these Dr
Thanks! I'm glad you like them!
Some CT and MRI vids next? :)
Good work
Thank you doctor Strong, your explanation is clear, concise, and organized.
Highly appreciated your efforts.
This is the perfect video! Thanks for the effort
Excellent video, Dr. Strong. It'd be interesting to see your take on common abnormalities compared on different imaging modalities, and the decision-making involved in choosing which would be most appropriate to obtain.
It was definitely helpful!!! Beautiful❤
This is how to make a challenging topic nice and easy. Thank you for your time
That was very helpful! Thank you doctor👍
Great explanations. Thank you!
Thanks Erick . Not only an abdominal plane film is needed , it is superior to an MRI and CT. Additionally it is cheap .
Thank you so much for this very great series ❤️❤️❤️
I wish you all the best 💕
Fantastic explanation sir!!
Thank you Sir ,you are exellent ,I am grateful you for this video🤲🤲🤲
Thank you Dr. Strong.
Excellent deliberation.keep up.
Sir, so, l will have to get back to here practically from A research because of the slangs.You got significant Videos.
Hi from Ghana.
Thank you. The explanation is very useful.
Excellent video, thank you! 💯
Beautiful explanation.. Thank you
thank u for such description
I can't imagine who the people disliking this video 🙄 I guess they are jealous. Thanks Dr Strong
I still can't comprehend the fact that rectum would fit that bottle lmao
Thank you Doctor
We miss you ♥️♥️
So helpful. Thank you!
thank you, doc. Amaze as always. hope you make also for CT scan.
thank you . very amazing video
Abdominal xrays are a topic medical students find pretty challenging, but you explained this so clearly!
Your videos have inspired me to make own videos more succinct. Keep up the great content 👌
Thanks a bunch.... your videos are always helpful :)
4:49 thank you Dr Strong for another brilliant video
Just one question; my specialty area is oncology & I often order AXR to assess stool burden; you mention that you don’t use AXR for this indication
How do you assess stool burden?
Regards EN
Thanks for sharing DR
helping a lot in step 2 ck thanks dr strong....
I’m a bit confused as to weather to request an AXR when suspecting a SBO. It is listed as an indication for ordering an AXR but all the surgical trainees say not to order one. Their reasoning is if the AXR shows what might be a SBO, you end up doing a CT with oral contrast to evaluate/treat it; if the AXR doesn’t show a SBO, it doesn’t rule it out either so you end up doing a CT regardless of what the AXR shows. So what is an AXR actually useful for in such situations?
amazing ....very nice explanation
Super helpful. Thank you so much .
To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray. However, some intestinal obstructions can't be seen using standard X-rays. 👍
So would they able to see your abdomen doing an ultra sound! My doctor ordered a CT scan but I am terrified of doing it. I am also scared and would never do an MRI.
@@NansGlobalKitchen No. Bowel gas means that ultrasound cannot get good imaging of the bowel.
Thank you for sharing this knowledge 👏
Thank you so much sir!🙏🏼
Thank you Doctor Strong.
Thank you for this. Very informative. Gonna share it with my cohort.
Truly made easy👍
well explained Dr. Thank you.
Thank you very much sir, much appreciated 🙏
Thank you so much Sir 🤝
Sir what about the Rigler's sign or double wall sign? In bowel perforation?
It helped alot .
Good 👍
Thank you very much..... I was waiting since long time...
Plz do make video on CT brain, chest, abdomen and pelvis...
Well done
Brilliant! Thanks
Thank you doc for this!
Have an exam tmr. I just realized my prof have the same lesson and everything as you
Do you mean your prof has referred students to my video, covers the same general material as I do, or that your prof literally plagiarized my presentation?
just amazing!!! thank you
Useful video
Great video 👍
Fantastic 👌
thank you so much for the amazing content!
Nice explanation 👌
Excellent! Thank you!
Thank you so much.
Good work thank you
Thank you very much
Doc is okay that I have undergone 3 times abdominal xray in 1 day? The hospital where I was admitted did it to me.
Amazing 👏🏻👏🏻
Thanks a ton 🎉
what a legend! thnx for the info
Thank you 🙌
Great video
Fantastic!!
Amazing
excellent
Great ... a lot of thanks.
Thank you doc
Thank you so much 🙏
Thnx
Thank you!
should have added the x ray for putty kidney .. rest it was an awesome video.
please cite the source for this line: "it's been estimated that about half of deaths from button battery ingestion occur due to someone misidentifying the battery on x-ray as a coin"
This seems unlikely to me as a button battery will normally have discharged and damaged the esophageal mucosa within 15 minutes (Gerner et al, 2019). but idk please cite.
The US Poison Control has a public registry listing details of 70+ cases: www.poison.org/battery/FatalCases
Most patients don't die from the primary rupture of the esophageal mucosa and subsequent infection; instead, most die days later from massive hemorrhage due to the development of fistulas between the esophagus and the aorta or other blood vessels.
@@StrongMed wow thanks so much for the reply. While ive got you here, just want to say I love your videos!!
I looked more into the statement I quoted from you above, and it does seem to be at least partially incorrect (youre totes right about my original contention though). However, you specify that the cause of death of half of button battery ingestions is misidentifying the battery as a coin. But here is a quote from the 2018 review published in BJR by Semple et al:
"[a 2010 examination of the National Poison Data System] identified 13 fatalities and 73 major complications [of button battery ingestion]. The diagnosis was initially missed in 7 of the fatal cases and 19 of the cases with major complication, most often through failure of recognition that foreign body ingestion had occurred at all. Perhaps more significantly to radiologists, 4.5% of ingested batteries in the significant harm group were initially misdiagnosed as ingested coins on radiography"
its actually only 5% that were misidentified as coins, about half are just due to plain not seeing it.
👍🏻👍🏻👍🏻so informative🥰🥰🥰
Thank you sir
perfect
9:18 where are the air fluid levels🙈☹️☹️can someone explain☹️
On the upright film, the "air fluid levels" are the horizontal lines within the small intestines in which there is black (air) on top, and white (fluid) on the bottom. They are primarily located in the patient's upper left (the upper right for the viewer). There are roughly 8 of them in this particular X-ray (2 per individual loop of bowel).
Thanku very much
AI disagree with the PA chest being best for pneumoperitoneum --- if properly and accurately positioned ...the upright abdomen is great for this condition. The entire diaphragm should be seen on an Upright image. I do my adult AP upright abdomens at a SID of 72" to make sure all anatomy is present and not clipped - especially the diaphragm.
thank you!!
While i was drinking water sccidently enter something in stomach now i feell little bit pain in lower abdominal part .what test should i do???
I'm very sorry, but I cannot give specific, individualized medical advice on here. If you have concerns about a symptom you are experiencing, I recommend you speak with your own physician.