By Gurmit Singh
For the MRCP half 2 examination, applicants have to be capable of interpret radiological pictures of normally encountered stipulations. in addition they more and more have to be in a position to resolution different questions about the situation proven within the photo, for instance therapy and diagnosis. This e-book has been designed to fulfill that need.
It is split into 5 sections: chest, stomach, apprehensive method, cardiovascular method and musculoskeletal method. every one defined is illustrated through one or top of the range radiological pictures after which presents a concise yet holistic view of the , with the entire vital facets of ailment that the candidate could be anticipated to grasp. this data is supplemented by means of a brief sequence of instance examination questions
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Additional info for Get Through Radiology for MRCP Part 2
Radiology Imaging plays important role in the diagnosis and further management. It helps to identify the mass, deﬁne its extent and presence of metastatic disease. A CXR may show enlargement of the mediastinum and the tumour may appear lobular in outline. It may also reveal lung metastases. 20 The CT scan is the imaging modality of choice. The CT also shows metastases to the lung, liver, lymph nodes and bones. A testicular ultrasound should be arranged in all cases with an extragonadal GCT. 9 C D D Section 1: Chest Treatment and prognosis The mainstay of treatment is chemotherapy.
HCC may spread to adjacent structures and may metastasize to lungs or bones. Other features of HCC are: ∑ ∑ ∑ ∑ ∑ ∑ Polycythaemia Hypoglycaemia Hypercalcaemia Hypercholesterolaemia Polymyositis Acquired porphyria Diagnosis ALP and AFP levels are elevated. AFP is elevated in 80% of patients but HCC can also occur with normal AFP. Ultrasound of the liver can detect the tumour and it has same sensitivity as CT. Presence of tumour on ultrasound and an AFP level of > 400 ng/mL is highly suggestive of HCC.
It may be discovered incidentally during a CXR performed routinely. Clinical features It is a disease of young adults but may be seen in all age groups and it may present insidiously over a period of months. It may present acutely with erythema nodosum and polyarthritis. Chest symptoms include cough, dyspnoea, and chest pain. Extrapulmonary manifestations may include uveitis, parotid enlargement, hepatomegaly, splenomegaly, neuropathy, lupus pernio, subcutaneous nodules, arrhythmias and meningitis.