#Poop and #belly #pain!

Too much stool? #orderwhat  @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

Many radiologist would not specifically comment on stool burden.  I have made it part of my practice to include "Dense stool and air filled colon, correlate with signs and symptoms of constipation" when I see a radiograph like this.

If you get a normal report and you see the colon looking like this, consider constipation.

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.

Image credit:

http://pediatriceducation.files.wordpress.com/2009/01/122704constipationaxr.jpg?w=367&h=474

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Suspected Physical Abuse Child

2 years or younger? Over 2? Neurologic findings?  #NAT #orderwhat  @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

2 years old or younger, no focal neuro symptoms => Skeletal survey

2 or younger, head trauma with no focal neuro symptoms => Skeletal survey and non con head CT

2 or younger, WITH focal neuro symptoms => Skeletal survey and non con head CT, probably brain MRI

OVER 2, WITH focal neuro symptoms => Non con head CT, probably brain MRI

Any age with obvious chest, abdomen or pelvic trauma => Skeletal survey and indicated CT 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

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

Please Link In! www.linkedin.com/in/tyvachon

Tweeting some more good info here! @helpfulrads

Dysphagia?

Where does it get stuck?  #oropharynx #retrosternal #orderwhat  @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

Known cause, Oropharynx => Modified barium swallow

Un-known cause, Oropharynx => pharyngeal dynamic radiographic exam

Retro-sternal => Bi-phasic esophagram and probably endoscopy 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

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

Please Link In! www.linkedin.com/in/tyvachon

Tweeting some more good info here! @helpfulrads

Acute Pelvic Pain?

Acute Pelvic Pain? - #orderwhat #pain @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

Pregnant and gyn etiology suspected?  => US pelvis 

NOT Pregnant and gyn etiology suspected? US pelvis 

Pregnant and NON-gyn etiology suspected? US abdomen and possibly pelvis 

NOT Pregnant and NON-gyn etiology suspected? => CT abdomen and pelvis 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

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

Please Link In! www.linkedin.com/in/tyvachon

Tweeting some more good info here! @helpfulrads

Vomiting infant - imaging needed? Bilious? X-ray or Ultrasound?

Vomiting In Infants Up To 3 Months Of Age?

Bilious vomiting in neonate up to 1 week old = abdomen radiograph and possibly upper GI or contrast enema

Bilious vomiting in infant 1 week to 3 months old = upper GI

Intermittent non-bilious vomiting since birth = possibly upper GI

New onset  projectile non-bilious vomiting = abdominal ultrasound 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

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

Please Link In! www.linkedin.com/in/tyvachon

Tweeting some more good info here! @helpfulrads