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36 Cards in this Set
- Front
- Back
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Initial imaging study for PE
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CXR, V/Q Perfusion Scan (but based on probability)
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Additional imaging for chest pain w/ suspicion for PE
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Spiral CT
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If CXR normal w/ pleuritic chest pain, get a...
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V/Q Scan
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If pleuritic chest pain w/ evidence of PE, get
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Spiral CT w/ PE protocol
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If suspicion for PE with pregnancy, chest x-ray abnornmal w/ moderate suspicion of PE, order
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lower extremity doppler
spiral CT (focused away from the pelvis) |
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Central line placed - what do you look for on post-procedure film
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Make sure line is in good position, r/o out pneumothorax and hemothorax, check catheter tip osition
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What kind of film is ordered in trauma patient w/ central line placed?
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portable upright view of chest
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what if you are unsure if a pneumothorax is present or upright film cannot be done
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left lateral decubitus view of the chest
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Differential for 78 yo w/ 4 days of abdominal pain and nausea
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gastric outlet obstruction
SBO Pancreatitis Peritonitis |
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First imaging for abdominal pain
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upright and supine abdominal views
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Why include an upright view of abdomen in abdominal pain
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look for free air d/t perforation
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what if patient w/ abdominal pain can't sit or stand
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instead of upright view, get left lateral decubitus position - perforation will have air adjacent to the liver
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X-ray finding of gastric outlet obstruction
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distended stomach w/ little/no gas distally
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X-ray finding of small bowel obstruction
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gastric and small bowel distension w/ no gas distally
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X-ray finding of pancreatitis
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sentinel loop (focal dilation)
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X-ray finding of peritonitis
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ileus - non-obstructive bowel distension
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Diferential for chest pain w/ right upper quadrant abdominal pain
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MI
Pneumonia PE Cholecystitis Hepatitis |
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What additional tests would you order for chest pain w/ right upper quadrant abdominal pain
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CXR, EKG, cardiac enzymes
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When do you get a CT for pneumonia
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1. Non-resolving pneumonia despite medical treatment
2. Concern for central obstruction 3. Evaluation for cavitary rocess 4. Evluation for an empyema |
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Self detected breast mass physical exam
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inspect for location and texture
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Imaging for breast mass
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diagnostic mammogram w/ breast ultrasound if needed
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What imaging study would you order w/ chest pain and SOB
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cxr
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You see pleural effusion on CXR for patient w/ chest pain and SOB - what would you get next
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CT w/ contrast - need contrast to see the vasculature
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What additional tests would you order for patient w/ chest pain and SOB
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BNP
EKG Cardiac enzymes |
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87 yo patient w/ headache and paresthesias - imaging order
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head CT w/o contrast
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What do you expect to see on head CT for patient w/ headache and paresthesias
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most likely - nothing
if something - edema, sulcal effacement, low attenuation in thalamus, possible intracranial hemorrhage |
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Mild nausea, belching, abdominal pain, tachycardia - additional info needed:
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onset
severity labs meds |
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DDX for mild nausea, belching, abdominal pain, tachycardia
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gastritis, enteritis, SBO, pancreatitis, cholecystitis, PUD
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First diagnostic study for mild nausea, belching, abdominal pain, tachycardia
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upright and supine views of abdomen
If can't sit/stand, left lateral decubitus position |
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after x-rays, what to do w/ patient w/ mild nausea, belching, abdominal pain, tachycardia
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1. Surgical consult
2. IV fluids 3. NPO |
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What films would you order to check feeding tube placement
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CXR
KUB |
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Imaging study for HA/ICH/Trauma
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non-contrast CT
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Imaging study for Stroke
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non-contrast CT
MRI |
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Imaging study for aneurysm / source ICH
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CT angiogram of head
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Imaging study for intracranial metastasis
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non-contrast CT head; MRI
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Imaging study for spinal metastasis
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MRI
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