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44 Cards in this Set
- Front
- Back
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AO aneurysm or dissection
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CT c contrast
confirm MRA c contrast (rarely needed) |
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AO tear (trauma)
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CT c contrast
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carotid stenosis
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Duplex US
MRA CTA confirm with conventional angiogram |
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abdominal abscess
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CT c contrast
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abdominal trauma
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CT c contrast
laparoscopy to confirm |
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appendicitis
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US or CT c contrast
tx appendectomy |
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bowel perforation
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upright abd xray
confirm CT c contrast laparoscopy only if uncertain tx laparoscopy |
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cholecystitis
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US
HIDA scan if negative US |
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choledocholithiasis
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US
ERCP or MRCP |
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cholelithiasis
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US
CT or MRCP |
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diverticulitis
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CT c contrast
NO endoscopy or barium enema acutely! risk of perforation |
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esophageal obstruction
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barium xray or endoscopy
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esophageal tear
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CXR followed by Gastrografin xray
endoscopy or surgery |
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hematemesis
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endoscopy
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intestinal obstruction
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abd xray
confirm CT c contrast |
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lower GI bleed
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barium enema or endoscopy (esp if brisk bleed)
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Meckel's diverticulum
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Meckel's scan (nuc medicine)
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PUD
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upper GI series or endoscopy
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pyloric stenosis
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US
upper GI series |
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unknown GI bleed
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nuclear medicine bleed study
for brisk bleed, angiography or laparotomy |
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upper GI bleed
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upper GI series or endoscopy
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fibroid uterus
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US
MRI |
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ovarian pathology
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US
MRI or laparoscopy |
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pelvic mass in female
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US
MR or CT c contrast, or laparoscopy |
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pregnancy evaluation
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beta hCG
TVUS |
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acute stroke
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NCHCT
MRI of brain s contrast |
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brain tumor
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CT or MRI WITH CONTRAST!
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head trauma
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NCHCT
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intracranial hemorrhage
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NCHCT
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multiple sclerosis
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MRI WITH CONTRAST!
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skull fracture
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NCHCT
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arthritis
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xray
MRI if need more detail |
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bone mets
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bone scan
PET scan plain xray for MM |
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fracture
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xray
CT s contrast can help evaluate complex fractures |
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osteomyelitis
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xray
bone scan, tagged WBC nuc scan MRI with contrast |
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chest mass
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cxr
CT c contrast |
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chest trauma
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cxt
CT c contrast |
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hemoptysis
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cxr
bronchoscopy and/or CT c contrast |
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PNA
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cxr
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PE
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CT c contrast
conventional pulm arteriogram VQ scan if can't give contrast |
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pulmonary nodule
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cxr followed by chest CT c contrast
PET scan |
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hematuria (persistent)
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CT c contrast
(no contrast if painful hematuria) cystoscopy |
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hydronephrosis
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US or CT
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nepholithiasis
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CT s contrast
IV pyelography |
