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Case of the Week 461


What is the most likely diagnosis?

  • Four different patients with Dobbhoff Tubes (feeding tubes) in place. Which one is in the correct position?



Four Different Patients

  1. A
  2. B
  3. C
  4. D

Additional Image - None

 

Additional Images

 

 

No Additional Images


Answer:

  1. A - In Right Lower Lobe Bronchus
  2. B - Correct position in duodenum
  3. C - Too high (in neck)
  4. D - Coiled in distal esophagus

More (Click Discussion Tab)

 

 

Dobbhoff Tubes (Nasoduodenal Feeding Tubes)

Indications for use

  • A small-bore, flexible silicone tube usually inserted into the nose with a weighted tip that should preferentially be past the pylorus
  • Used for nutrition in patients who
    • Require mechanical ventilation
    • Have an altered mental status
    • Have swallowing disorders
  • It is a narrow-bore (3mm-8 French) which can be left in place for 6 weeks or more
    • Causes less local irritation than nasogastric tubes
    • Unlike a large-bore nasogastric tube, it is not attached to suction 

 

MORE . . .

 


.

This Week

Four different patients with Dobbhoff Tubes (feeding tubes) in place. Which one is in the correct position?
 
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47.
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.