Diagnostic Processes Flashcards

1
Q

What are the three most important things to confirm on any diagnostic study

A

Verify that you have the right study on the right patient for the right day!

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2
Q

When should diagnostic imaging be delayed/omitted?

A

when a patient is unstable or imaging would delay emergency surgery/care

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3
Q

What are some indications for plain film radiography?

A

inexpensive

easy to see bones

easy access

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4
Q

What are some contraindications for plain film radiography?

A

pt unstable

need to be able to stand for some images

may not be best modality for injury

must be able to remain still

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5
Q

What ciew is preferred frontal view for CXR?

A

PA view

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6
Q

What are indications for a CXR?

A

trauma

infection

cardiac etiology

tumors

hardware

interstitial lung disease

environmental toxins

confirm tube placement

pneumonias

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7
Q

What are the contraindications for a CXR?

A

unstable to be transported

not able to stand, hold deep breath

other images would be preferred

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8
Q

What are the indications for abdominal XR?

A

obstruction

perforation

tube placement

foreign bodies

trauma

stones

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9
Q

What are the CI for abdominal xR?

A

different imaging modality would be better

patient unstable

not able to stand/hold breath

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10
Q

What are the indications for extremity Xr?

A

injury/fracture

focal lesions

soft tissue injuries

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11
Q

What are the CI for extremity Xr?

A

pt unstable

life threatening injuries that take priority

other studies would be better

if getting a CT/MRI of that area anyway

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12
Q

should you only order 1 view on an xray?

A

NO

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13
Q

What is something that should be orderd on pediatric xrays?

A

A comparison radiologyical studies on pediatric patients who still have open growth plates

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14
Q

What are the three types of CT studies for abodmen

A

Non contrast-renal colic

IV contrast-opacities in solid organs, bowel wall, vascular structures, aortic dissection

enteric contrast (oral)- opacifies bowel lumen

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15
Q

What are the indications for CT?

A

greatest diagnostic capability

tet of choice for most abdominal pathology

high sensitvity

can detect alternative diagnoses when primary disorder is not clear

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16
Q

What are the CI for Ct?

A

when xray is adequate

when IV contrast with aKI/renal failure

if pt cannot lie flat

17
Q

What is a CT angiography?

A

scannign when IV bolus reaches peak in vascular structures being identified

18
Q

What are the advantages of US?

A

no ionizing radiation

can be acquired in any plane

less expensive

can be done bedside

real time images

19
Q

What are the disadvantages of US?

A

less sharp and clear

takes more time than CT

highly variable based on operator

bone and lung hard to see

20
Q

What are the indications for an abdominal US?

A

avoid radiation

reduces expense

more sensitive

can ID gallstones, cholecystitis

21
Q

What are the CI for abdominal US?

A

No contraindications

operator dependent, some imaging studies are prefered

22
Q

What does WWII stand for in terms of MRI?

A

White Water on 2 (T2 weighted MRI)

23
Q

What are the advantages of MRI?

A

greater images of soft tissue

acquired in any plane

vascular study without contrast

24
Q

What are the disadvantages of MRI?

A

longer time of acqiuistion

motion artifact is very sensitive