Download - Imaging Update
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Dawn Light, MD, MPHAssoc Prof of Peds ,WSUSOM
Assoc Prof of Radiology, USUHS
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Updated Problem Solving in Imaging
Participants will learn about the unique concerns of ingested foreign bodies.
At the completion of the lecture, participants will be able to select appropriate imaging studies for patients with an acute urinary complaints.
Participants will describe considerations in ordering a variety of modalities to evaluate abdominal pain.
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How do you evaluate the neonate with prenatal hydronephrosis?I begin by getting a family history and I want
to know if it is unilateral or bilateral?Is physical exam is helpful? Should I get a renal US before the baby leaves
the hospital? Should I get an IVP before the baby leaves the
hospital? Should I get an VCUG before the baby leaves
the hospital?
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What is your current approach to evaluation of a child with a UTI?Should I get an initial US and VCUG to
evaluate from vesicoureteral reflux (VUR)?Should I image the first UTI in boys and the
second UTI in girls? Should I get VCUG initially, but follow-up with
nuclear cystogram if VUR is noted? Should I re-image if the initial VCUG was
negative if there are recurrent bouts of pyelonephritis?
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Comparision of Radiation Dose
VCUG 0.1 rem
Nuclear Scinitgraphy 0.05 rem
Renal US ?
CT Stone Protocol 1 rem
IVP 0.3 rem
Gelfand, 2003
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What is your approach to evaluation of acute lower abdominal pain?Should I get a plain film on everyone?Should I start with US and only get CT if it is
inconclusive?Should I start with US in girls and CT in boys?Can we manage the diagnosis of appendicitis
without imaging?
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Is there any place for the
plain film?
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Updated Problem Solving in Imaging
Participants will learn about the unique concerns of ingested foreign bodies.
At the completion of the lecture, participants will be able to select appropriate imaging studies for patients with an acute urinary complaints.
Participants will describe considerations in ordering a variety of modalities to evaluate abdominal pain.