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43 Cards in this Set
- Front
- Back
|
Aortic aneurysm/dissection
|
Screen: CT w/ contrast
Confirm MRA (rarely needed) |
|
Aortic tear/trauma
|
CT with contrast
|
|
Carotid stenosis
|
screen: duplex US, MRA, or CTA
confirm: conventional angiogram |
|
Abdominal abscess
|
CT w/ contrast
|
|
Abdominal trauma
|
screen: CT w/ contrast
confirm: laparoscopy, do even if in doubt. rarely needed for dx |
|
appendicitis
|
screen: if preggers or pediatric, use US
screen: rest of population contrast CT confirm: if in doubt, take it out w/ lap |
|
bowel perforation
|
screen: abd. xray
confirm: CT w/ contrast |
|
Cholecystitis
|
screen: US
confirm: HIDA scan |
|
Choledocholithiasis
|
screen: US
confirm: ERCP or MRCP |
|
cholelithiasis
|
screen: US
confirm: CT or MRCP |
|
diverticulitis
|
CT scan with contrast. DO NOT do endoscopy or barium enema in acute setting, but should be done after several weeks of stabalization
|
|
esophogeal obstruction
|
screen: barium xray or endoscopy
confirm: endoscopy |
|
esophageal tear
|
screen: CXR followed by gastrografin xray.
confirm: endoscopy or surgery |
|
hematemesis
|
endoscopy
|
|
GI obstruction
|
screen: abd xray
confirm: CT with contrast |
|
lower GI bleeding that has resolved prior to presentation
|
screen: barium enema or endoscopy
confirm: colonoscopy lower GI bleed is frank or occult blood in stool. |
|
Meckel's diverticulum
|
meckel's scan (technatium)
(rule of 2's- 2% of population, 2 inches long, 2 feet from ileocecal junction, presents in first 2 years of life and symptomatic in 2% of patients who have it |
|
peptic ulcer disease
|
screen: upper GI series
confirm: endoscopy |
|
pyloric stenosis
|
US. upper GI series of US not a choice
|
|
Upper GI bleed
|
upper GI series or endoscopy. For rapid/brisk bleed choose laparotomy/endoscopy
|
|
uterine fibroids
|
screen: US
confirm: MRI |
|
ovarian pathology
|
screen: US
confirm: MRI or laparoscopy depending on how acute the problem is |
|
pelvic mass in females
|
screen: US
confirm: MRI, CT with contrast or lap |
|
preggers eval
|
B-hCG and then transvaginal US
|
|
acute stroke
|
screen: CT w/o contrast
confirm: MRI w/o contrast |
|
brain tumor
|
screen: CT/MRI with contrast
|
|
head trauma
|
ct w/o contrast
|
|
intracranial hemorrhage
|
CT w/o contrast
|
|
Multiple sclerosis
|
MRI of brain w/ contrast
|
|
skull fracture
|
CT w/o contrast
|
|
osteoarthritis
|
screen: XRAY
confirm: MRI if more detailed eval is needed |
|
bone mets
|
screen: bone scan
confirm: PET scan note: plain xrays can be used for multiple myeloma. |
|
fracture
|
xray
CT w/o contrast can help evaluate complex fractures |
|
osteomyelitis
|
screen: xray
confirm: bones scan, tagged WBC nuclear scan, or MRI w/ contrast |
|
Chest mass
|
screen: CXR
confirm: CT with contrast |
|
chest trauma
|
screen: CXR
confirm: CT w/ contrast |
|
hemoptysis
|
screen: CXR
confirm: bronchoscopy and/or CT w/ contrast |
|
pneumonia
|
screen: cxr, pre-calcitonin
get sputum C&S |
|
pulmonary embolism
|
screen: CT with contrast or V/Q scan if cant give contrast
confirm/gold standard: pulmonary angiogram |
|
pulmonary nodules
|
screen: cxr followed by chest CT with contrast
confirm: PET scan |
|
persistent hematuria
|
screen: CT with contrast (no contrast if painful hematuria)
confirm: cystoscopy |
|
hydronephrosis
|
US or CT scan
|
|
nephrolithiasis
|
CT w/o contrast
confirmed with IV pyelogram (rarely used or needed) |
