Sos: Planar Neuroimaging Flashcards
33-year-old construction worker presents to the ED with a one week history of “the worse headache I have ever had”
subarachnoid hemorrhage
best and quickest test to get in ED of the brain
CT
best imaging modalities to use for brian
CT and MRI
what cut
coronal
what cut
horizontal (axial)
what cut
sagittal
thousands of x-rays put together
CT (computerized tomography)
viewing from foot of bed; what is orientation
R to L
bone, calcifications and clotted blood appear what color on CT
white (hyperdense tissues)
air, fat, CS fluid, infarct appear what color on CT
black (hypodense tissues)
gray and white matter and flowing blood appear what color on CT
gray (isodense tissues)
contains myelin which has a high lipid content and appears slightly darker than gray matter
white matter
used with IV contrast and highlights vasculature; takes time
Contrast enhanced CT
to use or not to use contrast enhanced CT with intracranial hemorrhage (<1 week old and appears hyperdense)
no contrast
intracranial hemorrhage
skull fractures
mass effect
when to use CT