Diagnostic Imaging of Emergency Patient CRW Flashcards
case 1: history of acute onset non-productive retching/vomiting and abdominal distention
right lateral view
GDV
what is the main content of the stomach
gas opacity
how would you describe the shape of the stomach
smurf hat
double bubble
case 2: tachypnea, lethargy
describe the changes on left lateral view
edges of lun lobes retracted away from body wall
fluid opacity
loss of visibility of heart and diaphragm
case 2: tachypnea, lethargy
what has happened to the overall appearance of the thorax
increased opacity: looks whiter then it should
case 2: tachypnea, lethargy
what major thoracic organ(s) are masked/poorly defined
heart, diaphragm, great vessels
case 2: tachypnea, lethargy
where is the abnormality
pleural space
case 2: tachypnea, lethargy
what is the diagnosis
pleural effusion –> between the lungs and thoracic wall
can’t see the diaphragm in this case so don’t know if its intact because of fluid
case 2: tachypnea, lethargy
what would you do next after you diagnose (4)
- thoracocentesis
- ultrasound (tFAST) –> fluid could have hemothorax, neoplastic, look at heart to see if there is heart failure
- bloodwork: metabolic disease, systemic infection or inflammation
- repeat radiographs after thoracocentesis
case 3: dyspnea
what has happened to the lung lobe
decreased in size
not reaching the periphery of thorax
case 3: dyspnea
what is the diagnosis
pneumothorax
lungs show increased opacity –> possibility of pulmonary contusions
case 3: dyspnea
what is shown here
tension pneumothorax
increased space between ribs
mediastinum will get pushed to one side it its unilateral
case 4: lethargy and dyspnea following RTA
what is the diagnosis
diaphragmatic rupture
what is the diagnosis
diaphragmatic rupture
pleural effusion common with DR
case 5: acute onset severe left forelimb lameness
what is the diagnosis
hairline fracture of P1
