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Last updated: Accelerated Hypertension
on June 13, 2013

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Gas Gangrene of the LEFT foot.

Gas visible in the subcutaneous tissues around proximal MCP of the hallux, and medially around the ankle bones

Massively distended bladder  

Massive distension of bladder

Cardiomegaly

Gross cardiomegally with dilated right atrium and upper lobe blood diversion.

Pneumoperitoneum

Pneumoperitoneum with air visible under both diaphragms as a result of peptic ulcer perforation. 

 X-ray illustrates the 'continuous diaphragm sign' - the diaphragm is not usually seen in its entirety due to the cardiac shadow. 

Perforated Duodenal Ulcer, Pneumoperitoneum

Pneumoperitoneum

Abdo Film shows distended bowel loops and Rigler's sign 

Erect chest shows air under the diaphragm

Perforated duodenal ulcer

Dilated bowel loops.

There is also Rigler's sign - both sides of the bowel wall are visible due to air outside and inside the bowel.