OSCE radiology pearl 7

A 35 years old Malay army come to emergency department at 5 pm after his right hand stuck into bicycle chain. You notice that his finger is spurting red blood. He is non smoker and write with left hand. the last meal he took is at 10 am. he do not have any medical illness like hypertension, asthma, heart problem and diabetes melitus

1) Where do you think the source of bleed come from

2) outline your finding in his x-ray
3) what is your management

OSCE radiology pear 6

a 17 years old boy complaint of left foot pain after fall down from motorcycle.below is his x ray

1) what is the x-ray view
2) what is your finding in the x-ray
3) how to manage this patient

OSCE Radiology pearl 5

A 66 years old Malay woman with known history of bronchietcasis presented with the complaint of fever, shortness of breath and chest pain.

below is her CXR

1) What is bronchiectasis
2) What is your finding in this patient CXR
3) what is your provisional diagnosis
4) What investigation you would like to carry out to support your provisional diagnosis
5) How will you manage this patient

OSCE Radiology Pearl 3

62 years old malay woman presented with high grade fever with chills and rigor together with pleuritic chest pain associated with productive cough


After three days of hospitalization, she develops shortness of breath


[note: the case has been modified and it is not represent the condition of patient in chest x ray]

1) list your finding in CXR
2) What is your differetial diagnosis
2) Name one investigation to confirm the diagnosis