By Eisenberg, Ronald L. Eisenberg, Alexander R. Margulis
Univ. of California, San Francisco. Pocket-sized quick-reference advisor to choosing the right and cheapest imaging procedure. contains three hundred scientific difficulties, recommendation, and present price comparisons. define layout. For clinicians and citizens. Prev. ed., c1996, used to be titled Radiology Pocket Reference: What to reserve while. Trim dimension: 7 x four in. Softcover. DNLM: Diagnostic Imaging-Hdbk
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Extra info for What to Order When: Pocket Guide to Diagnostic Imaging
Computed tomography Preferred initial imaging technique for detecting and defining the origin of a palpable mass or the extent of diverticulitis 3. Barium enema Can detect free or walled-off perforation or eccentric narrowing of the colonic lumen related to diverticulitis (the most likely clinical diagnosis) Caveat: If free perforation into the peritoneal cavity is suspected, water-soluble contrast must be used. Left Upper Quadrant Mass Organ of Origin Spleen Left lobe of the liver Stomach (gastric outlet obstruction or tumor) Splenic flexure of the colon Pancreas Left kidney Left adrenal gland Approach to Diagnostic Imaging 1.
Sclerosing cholangitis) or because the obstruction may be recent or intermittent. Nausea and Vomiting Common Causes Drug reaction (chemotherapeutic agents, central nervous system [CNS]-active drugs, analgesics, cardiovascular drugs, hormones, antibiotics, diuretics, antiasthmatics) Gastrointestinal disorders Gastric outlet obstruction (peptic ulcer disease, gastric malignancy, extrinsic compression) Small bowel obstruction (adhesions, inflammatory bowel disease, neoplasm) Inflammatory conditions (gastroenteritis, peptic ulcer disease, cholecystitis, pancreatitis, Crohn's disease) Motility disorders (gastroparesis, irritable bowel syndrome, chronic intestinal pseudoobstruction, scleroderma) CNS disorders (stroke, neoplasm, labyrinthine disease, motion sickness, psychiatric disorders) Metabolic conditions (pregnancy, uremia, hyperglycemia, hyperparathyroidism, metabolic acidosis, adrenal insufficiency) Infectious disorders (hepatitis, meningitis, labyrinthitis) Approach to Diagnostic Imaging Caveat: Initially, a detailed history, physical examination, and laboratory workup should be performed.
Computed tomography Directly images the spleen, liver, gastric wall, pancreas, left kidney, and left adrenal gland Adequate US examination is often precluded by gas contained within the stomach, small bowel, and colon 2. Upper gastrointestinal series If there is evidence of gastric outlet obstruction, can evaluate for peptic ulcer or gastric malignancy Midabdominal Mass Organ of Origin Superficial structures Peritoneal structures Retroperitoneal structures Approach to Diagnostic Imaging 1. Computed tomography Directly images the organs within all three compartments Adequate US examination is often prevented by gas contained within the stomach, small bowel, and colon 2.
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