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.

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Tweeting some more good info here! @helpfulrads

Foot trauma? Foreign body? X-ray needed?

Acute foot trauma? - #orderwhat #footpain @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

Meet Ottawa Rules or not neurologically intact  => Xray

Concern for Lisfranc injury => Weight bearing Xray, if able or MRI foot

Does not meet Ottawa Rules => No study indicated

X-rays negative and concern for tendon injury or dislocation => MRI foot

Penetrating trauma and concern for foreign body => X-ray, then US if needed 

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

Dyspnea, suspected cardiac origin?

Dyspnea of suspected cardiac origin

Summary:

Chest xray and transthoracic echocardiography (possibly followed by a stress: echo, SPECT or PET or Cardiac MRI) 

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

Neck adenopathy?

What to do with neck adenopathy?

Summary:  

Adult, afebrile, single or multiple node(s) =  CT neck with contrast (or MRI neck with contrast,  if needed*)

Adult, febrile, single node =  CT neck with contrast (or MRI neck with contrast,  if needed*)

Adult pulsatile neck mass = CTA and CT neck with contrast (or MRI neck with contrast,  if needed*)

Adult with cancer history and nodes = Neck PET and CT with contrast

Child (up to age 14), afebrile or febrile, single or multiple node(s) = Neck ultrasound (Then CT neck with contrast (or MRI neck with contrast,  if needed*))

* This decision is usually based on renal function and contrast reactions 

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