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Tuesday, June 10, 2014

Jaundiced patient?


Imaging for jaundiced patient?

Summary: 

Abdominal pain with 1 of the following: fever, history of biliary surgery or known cholelithiasis = US abdomen (then CT ABD/PEL with contrast or MR Abdomen with contrast with MRCP)

Painless with 1 of the following: weight loss, fatigue, anorexia or symptoms greater than 3 months =  CT ABD/PEL with arterial and portal venous contrast, US abdomen or MR Abdomen with contrast with MRCP)


Clinical and lab exam makes obstruction unlikely = US abdomen (then MR Abdomen with contrast with MRCP, if needed) 


Educational purposes for licensed providers.



Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

More about Dr. Vachon - ORAinformatics.com

LLQ pain suspected diverticulitis?

LLQ pain suspected diverticulitis?

Summary:


Diverticulitis, suspect complication or atypical presentation = CT ABD PEL with IV and Oral and/or colonic 


Educational purposes for licensed providers.



Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.