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39 Cards in this Set

  • Front
  • Back
skull fracture (depressed)
CT
head trauma
or intracrania hemorrhage
CT w/o contrast
acute stroke
1. CT w/o contrast
2. MRI of brain w/o contrast
multiple sclerosis
MRI brain w/ contrast
brain tumor
CT or MRI w. contrast
pneumonia
CXR
chest trauma
chest mass
hemoptysis
1. CXR
2. CT scan w. contrast
(or bronchoscopy for hemoptysis)
PE
1. VQ scan
2. pulm areteriorgram or CT w. contrast
aortic aneurysm/dissection
or aortic tear (trauma)
1. CT w. contrast
2. Angiogram
carotid stenosis
1. duplex ultrasound or MRA
2. angiogram
esophageal obstruction
1. barium XR or endoscopy
2. endoscopy
Esophageal tear
1.gastrografin XR or endoscopy
2. endoscopy
bowel perf
abdominal XR
hematemesis
endoscopy
peptic ulcer disease
1. Upper GI series or endoscopy
2. endoscopy
abdominal trauma
1. CT scan w. contrast
2 laparoscopy
abdominal abcess
CT scan w. contrast
cholelithiasis
US
choledocholithiasis
1. US
2. ERCP or MRCP
Cholecystitis
1. US
2. Nuclear hepatobiliary study (HIDA scan)
Intestinal obstruction
1. AXR
2. CT w. contrast
Appendicitis
1. AXR then US or CT with contrast
2. laparoscopy
nephrolithiasis
AXR then IVpyelogram or CT w/o contrast
ovarian pathology
US
diverticulitis
CT w. contrast (NO ENDOSCOPY OR BARIUM ENEMA ACUTELY)
upper GI bleed
1. upper GI series or endoscopy
2. endoscopy
lower GI bleed
1. barium enema or endoscopy
2. endoscopy
unkown GI bleed
nuclear medicine bleeding study (for brisk bleed, angiography or laparotomy)
hydronephrosis
US or CT scan
hematuria (persistent)
1. CT
2. cystoscopy or CT w. contrast
fibroid uterus
US
pelvic mass (female)
1. US
2. CT w. contrast or laparoscopy
Bone mets
bone scan (plain x rays for multiple myeloma)
Preganancy eval
US (transvaginal detects sooner than transabdominal)
GET beta HCG FIRST
Fracture
X-ray
(CT scan w/o contrast can help eval complex fx)
osteomyelitis
1. x-ray
2. bone scan and/or MRI with contrast
arthritis
1. x-ray
pyloric stenosis
US (upper GI series is second choice
meckel's diverticulum
meckel's scan (nuclear medicine)