The Docsaab's Diary

🩻 How to Read a Chest X-Ray?

Confused about where to start when looking at a Chest X-ray?

In this video, I’ve explained a simple, systematic approach to Chest X-ray interpretation — from checking X-ray quality to identifying important abnormalities.

Perfect for MBBS students, interns, GP trainees & doctors 👨‍⚕️👩‍⚕️

🎥 Watch the full video here 👇

🔗 https://youtu.be/8JK1AJ7p2Zc?si=goiZM...

Let me know in the comments: Which Chest X-ray finding do you find most difficult to interpret?

#ChestXray #XrayInterpretation #Radiology #MedicalEducation #MBBS #Medicine #TheDocSaabsDiary

2 weeks ago | [YT] | 0

The Docsaab's Diary

125. A 28-year-old woman presents with a 9-month history of intermittent abdominal pain associated with bloating and altered bowel habit. She reports episodes of diarrhoea alternating with constipation. The pain is often relieved after defecation. She denies rectal bleeding or nocturnal symptoms, and her weight is stable.
Investigations:
FBC: normal
CRP: normal
Coeliac serology: negative
Which is the SINGLE most likely diagnosis?

1 month ago | [YT] | 0

The Docsaab's Diary

124. A 57-year-old man attends for an NHS health check. He has hypertension treated with ramipril and is a current smoker. His father had a myocardial infarction at age 52.
Investigations:
Total cholesterol: 6.8 mmol/L
HDL cholesterol: 0.9 mmol/L
BP: 138/84 mmHg
HbA1c: 40 mmol/mol
His calculated 10-year QRISK3 score is 16%.
Which is the SINGLE most appropriate management?

1 month ago | [YT] | 0

The Docsaab's Diary

123. A 68-year-old man presents after a 20-minute episode of sudden right arm weakness and slurred speech that completely resolved before arrival. He has hypertension, type 2 diabetes, and atrial fibrillation. Examination is now normal.
Which is the SINGLE most appropriate immediate management?

1 month ago | [YT] | 0

The Docsaab's Diary

122. Two healthy parents have a child diagnosed with Cystic fibrosis. They ask about the risk of the same condition occurring in a future pregnancy.
Which is the SINGLE most appropriate answer?

1 month ago | [YT] | 0

The Docsaab's Diary

121. A 29-year-old woman requests reliable contraception. She has migraine with aura and smokes 15 cigarettes daily. Her BMI is 33 kg/m². She has no children and would prefer a method that does not require daily attention.
Which is the SINGLE most appropriate contraceptive option?

1 month ago | [YT] | 0

The Docsaab's Diary

120. A 61-year-old man presents with a non-healing lesion on the upper pinna of his ear that has slowly enlarged over 8 months. He works as a farmer and has significant lifetime sun exposure.
Examination shows:
A 1.5 cm ulcerated lesion with rolled edges and surface telangiectasia
No cervical lymphadenopathy
Lesion is painless
Which is the SINGLE most likely diagnosis?

1 month ago | [YT] | 0

The Docsaab's Diary

119. An 81-year-old man with metastatic Prostate cancer dies at home. You reviewed him 5 days before death and were aware that he was receiving palliative care for advanced disease. His family asks you to complete the Medical Certificate of Cause of Death (MCCD).
Which is the SINGLE most appropriate action?

2 months ago | [YT] | 0

The Docsaab's Diary

118. A 72-year-old man presents with progressive shortness of breath and right-sided pleuritic chest pain over 6 weeks. He has unintentionally lost 7 kg over the past 3 months and has a 50-pack-year smoking history.

On examination:
Reduced chest expansion on the right
Stony dull percussion note at the right lung base
Reduced breath sounds over the same area
Trachea centrally positioned

Chest X-ray confirms a large right-sided pleural effusion.

Which is the SINGLE most appropriate next investigation?

2 months ago | [YT] | 0

The Docsaab's Diary

117. A 68-year-old man with type 2 diabetes and hypertension attends for routine review. He feels well. Current medications include ramipril, amlodipine, metformin, and atorvastatin.
Investigations:
eGFR: 52 mL/min/1.73m² (persistently reduced for 4 months)
Urine ACR: 8 mg/mmol
HbA1c: 52 mmol/mol
BP: 146/88 mmHg
Which is the SINGLE most appropriate next step in management?

2 months ago | [YT] | 0