I'm Not Sure What Bothers Me in this Chest X-Ray but an HRCT May Help?

R. Takhar, Ratan Kumar, Motilal Bunkar, M. Singh, Kuldeep C Gupta, Rakesh Biswas
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Abstract

There are some inevitable risk factors of patient exposure to problems arising from human errors, including missed subtle radiological findings, early identification of which may alter the patient outcomes. Here we are discussing a patient who presented with a prior diagnosis of seasonal allergic rhinitis with symptoms assumed to be bronchial asthma. A second review of chest radiograph after discussion over an online platform (Tabula Rasa group on Facebook) revealed some subtle findings which we missed initially. Further workup of the case revealed some astonishing findings. This case illustrates the importance of discussing unsolved cases on online platforms with peers and also to proceed for higher imaging to detect what has been missed on plain radiography.
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我不知道这张x光胸片是什么困扰了我,但HRCT可能有帮助?
有一些不可避免的风险因素使患者暴露于由人为错误引起的问题,包括错过细微的放射检查结果,早期识别可能会改变患者的结果。这里我们正在讨论一个病人谁提出了季节性变应性鼻炎的先前诊断的症状假定为支气管哮喘。在一个在线平台上(Facebook上的Tabula Rasa小组)讨论后,我们对胸片进行了第二次检查,发现了一些我们最初遗漏的细微发现。对这个案件的进一步调查揭示了一些惊人的发现。这个病例说明了在网络平台上与同行讨论尚未解决的病例的重要性,也说明了进行更高的成像以检测平片上遗漏的东西的重要性。
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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