This little girl was my patient. I'm surprised how little people - even MDs and keyboard warriors- know about…

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Summary

A physician documents radiological evidence of a 1.5-year-old girl's gunshot wound, explaining the X-ray and CT findings (bullet, pneumothorax, chest tube) that prove penetrating trauma, while refuting online skeptics who questioned the authenticity of medical images from aid sites.

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#1
This little girl was my patient. I'm surprised how little people - even MDs and keyboard warriors- know about penetrating/gunshot trauma. Let me explain what this X-Ray means, how it clearly proves this girl has a gunshot, and why the haters are oh so very wrong. A #MedTwitter 🧵
#2
First, there's history and clinical picture. The 1.5 yo girl was in her mother's arms very near a GHF "aid" site. They opened fire. She was struck and started screaming, with blood pouring down her right side. On exam, she was struggling, had crepitus, and an obvious entry wound.
#3
The X-Ray shows three clear signs she was shot: 1. A bullet; 2. A chest tube; 3. Air outside the lung, which was the crepitus I felt. The chest tube is to treat a pneumothorax (air outside the lung in the chest cavity), and was inserted when the US showed decreased lung sliding.
#4
I chose this X-Ray because it is visually striking and clear. That's why @Glia_Intl posted it. Despite copious evidence from multiple sources and over 550 mortalities at GHF "aid" sites, some called the veracity of these images into question. The keen-eyed knew better because...
#5
That's not a regular X-Ray at all. That is a scout, which means that it was done to properly stage a CT. So what does the CT show?
#6
The CT shows the bullet clearly going through child's lung, causing the pneumothorax and subcutaneous emphysema, and settling just on top of the right diaphragm posteriorly. x.com/trklou/status/…
#7
Since the CT videos seem to have been deleted for some, here they are again.
#8
This girl's injuries are typical of patients from GHF "aid" sites. Many/most of my trauma patients have X-Rays/CTs that look like this with varying amounts of damage. Here are a random smattering from my camera roll taken over about a week at Nasser. Some lived. Some died.