Cloned from: STEP 2: Radiology



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What imaging test would you order in a patient suspected of having an Aortic Dissection?
CT with contrast followed by MRA with contrast if and only if confirmation is needed
What imaging test would you order in a patient suspected of having an Aortic tear secondary to trauma?
CT with contrast
What imaging test would you order in a patient suspected of having Carotid Stenosis?
Duplex US, MRA or CTA Can be confirmed with angiogram.
What imaging test would you order in a patient suspected of having an abdominal abscess?
CT scan with contrasts
What imaging test would you order in a patient after abdominal trauma?
CT scan with contrast
What imaging test would you order in a patient suspected of having Appendicitis?
U/S (esp. pedi or preg) or CT with contrast
What imaging test would you order in a patient suspected of having a Bowel Perforation?
Abdominal X-Ray
What imaging test would you order in a patient suspected of having Cholecystitis?
U/S followed by Nuclear Hepatobiliary study (HIDA Scan)
What imaging test would you order in a patient suspected of having Choledocholithiasis?
U/S followed by ERCP or MRCP
What imaging test would you order in a patient suspected of having diverticulitis?
CT scan with contrast
What imaging test would you order in a patient suspected of having Cholithiasis?
U/S... though CT or MRCP maybe helpful.
What imaging test would you order in a patient suspected of having an Esophageal Obstruction?.
Barium X-Ray or Endoscopy Endoscopy is confirmatory.
What imaging test would you order in a patient suspected of having an esophageal tear?
Chest X-ray followed by gastrografin X-Ray Endoscopy or surgery is confirmatory.
What imaging test would you order in a patient presenting with Hematemesis?
Endoscopy
What imaging test would you order in a patient suspected of having an intestinal obstruction?
Abdominal X-Ray followed by CT scan with contrast for confirmation.
What imaging test would you order in a patient suspected of having a Lower GI Bleed?
Barium Enema or endoscopy Endoscopy is confirmatory
What imaging test would you order in a patient suspected of having Peptic Ulcer Dz.?
Upper GI series or Endoscopy. Endoscopy is Confirmatory
What imaging test would you order in a patient suspected of having pyloric stenosis?
Ultrasound, Upper GI Series, or endoscopy Of Course Endoscopy is confirmatory.
What imaging test would you order in a patient with active GI bleeding, where initial testing has failed to localize the bleed?
Nuclear Medicine Bleeding study
What imaging test would you order in a patient suspected of having an upper GI bleed?
Upper GI series or endoscopy Endoscopy is confirmatory.
What imaging test would you order in a patient suspected of having Fibroid uterus?
Ultrasound MRI is confirmatory
What imaging test would you order in a patient suspected of having some ovarian pathology?
Ulatrasound MRI is confirmatory
What imaging test would you order in a patient suspected of having a Pelvic Mass?
Ultrasound MRI or Laparoscopy are confirmatory
What imaging test would you order in a woman suspected of being pregnant?
Ultrasound: Transvaginal detects pregnancy sooner than transabdominal.
In a man presenting to the ED with unilateral weakness Beginning 20 minutes ago. What is your imaging study of choice?
CT without contrast for acute stroke. MRI without contrast is confirmatory
What imaging test would you order in a patient presenting with severe headache? You want to rule out brain tumor?
CT or MRI with contrast
What imaging test would you order in a patient s/p MVC who hit his head on the windshield?
CT without contrast
What imaging test would you order in a patient suspected of having an intracranial hemorrhage?
CT without contrast
What imaging test would you order in a patient suspected of having Multiple Sclerosis?
MRI of brain with contrast
What imaging test would you order in a patient suspected of having a Skull Fracture?
CT without contrast
What imaging test would you order in a patient suspected of having Arthritis?
X-Ray or MRI if more detail is needed
What imaging test would you order in a patient suspected of having Bone Metastases?
Bone Scan Pet Scan is confirmatory
What imaging test would you order in a patient suspected of having a Fracture?
X-Ray CT is helpful in complex fractures.
What imaging test would you order in a patient suspected of having Osteomyelitis?
X-Ray Confirmatory tests include: 1. Bone Scan 2. Tagged white blood cell nuclear scan 3. MRI with contrast
What imaging test would you order in a patient suspected of having a Chest Mass?
Chest X-Ray CT scan with contrast is confirmatory
What imaging test would you order in a patient who hit his chest on the steering wheel following MVC? (i.e. with chest trauma)
Chest X-Ray CT scan with contrast is confirmatory
Patient presents with Hemoptysis. What initial imaging study do you order?
Chest X-Ray Bronchoscopy and/or CT scan with contrast are confirmatory.
What imaging test would you order in a patient suspected of having Pneumonia?
Chest X-Ray
What imaging test would you order in a patient suspected of having a Pulmonary Embolism.
CT with contrast V/Q scan
What imaging test would you order in a patient suspected of having a Pulmonary Nodule?
Chest X-Ray followed by Chest CT with contrast. PET scan is confirmatory
What imaging test would you order in a patient presenting with Hematuria? What if the hematuria is painful?
CT scan with contrast If Painful hematuria order CT without contrast. Cystoscopy is confirmatory
What imaging test would you order in a patient suspected of having hydronephrosis?
Start with Ultrasound then consider CT scan
What imaging test would you order in a patient with flank pain suspected of having nephrolithiasis?
CT scan without contrast.
What should you avoid in patient with suspected GI perforation?
Barium! Can cause Chemical peritonitis. Must use water soluble contrast such as Gastrografin
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