Emergency Radiology MAHMUOD PDF
Emergency Radiology MAHMUOD PDF
Emergency Radiology MAHMUOD PDF
Emergency Radiology
What
Emergency Radiology
Common Topics
CNS Emergencies
Face & Neck Emergencies.
Spinal Emergencies.
Chest Emergencies.
Cardiovascular Emergencies.
Abdominal Emergencies.
Gynecological & Obstetrical emergencies.
Male Genitourinary Emergencies.
Pelvis
Extremities
Pediatric Emergencies
Emergency Radiology
CNS Emergencies:
Skull Fractures
Hemorrhage: (TraumaticNon Traumatic)
Extra-axial
Parenchymal
Cerebral infarction.
Spinal trauma.
Emergency Radiology
CNS Emergencies:
Skull Fractures:
What to order:
Plain X-ray of the skull (lateral view - AP)
Computed tomography of the Brain (Axial
Coronal) (bone window)
When:
History of trauma evident injury of the
scalp
Findings:
Bone window
Bone window
Emergency Radiology
CNS Emergencies:
Hemorrhage:
Traumatic
Traumatic
Non
What to order:
Computed tomography (CT) of the Brain
(Axial)
When:
Head trauma focal neurological defect.
Findings:
Emergency Radiology
CNS Emergencies:
Hemorrhage: Traumatic
Findings in:
Extra Dural Blood
Subdural Blood.
Cerebral contusion.
Emergency Radiology
CNS Emergencies:
Hemorrhage: Non - Traumatic
Findings in:
Subarachnoid Blood
Intraparenchymal Blood.
Intraventricular Blood
Intraparenchymal
Angiography)
Hemorrhage
(CT
Scan,
Emergency Radiology
CNS Emergencies:
Cerebral Infarction:
What to order:
Computed tomography (CT) of the Brain
(Axial)
Magnetic Resonance Imaging (MRI) : DWI
When:
Focal neurological defect - Stroke
Findings:
Emergency Radiology
Face Emergencies:
Facial Fractures
Orbit Zygoma Maxillary Frontal - Nasal
Emergency Radiology
Facial fractures:
What to order?
Plain X-ray of the Skull (Lateral view PA
view)
Computed Tomography of the facial bones
(Bone windowAxial & coronal3D recon.)
When?
History of trauma to the face
disfigurement Severe facial contusions
Findings
Emergency Radiology
Orbital Injuries:
What to order?
Plain X-ray of the Skull (Lateral view PA
view)
Computed Tomography of the Orbit (Axial
& Coronal - Bone & Soft tissue settings)
When?
History of trauma to the orbit History of
FB to the eye
Findings
Emergency Radiology
Spinal Emergencies:
Trauma
Vertebral fracture (Varieties)
Spinal cord injuries.
Emergency Radiology
Spinal trauma:
What to order?
Plain X-ray of the spine (Lateral view AP
view)
Computed Tomography of the Spine (Axial
- Bone & Soft tissue settings3D recon.)
MRI of the spine. (for cord injury)
When?
History of trauma Falling from hieght.
Findings
Emergency Radiology
Chest Emergencies:
Chest Trauma
Rib fractures Traumatic Hemothorax
pneumothorax pneumomediastinum
pulmonary
contusion,
laceration
hematoma
Esophageal
injury
diaphragmatic injury etc.
&
Emergency Radiology
Chest trauma:
What to order?
Plain X-ray of the Chest (PA view - Lateral
view)
Computed Tomography of the Chest
Angiography (Aortography)
When?
History of trauma Difficulty of breathing.
Findings
Emergency Radiology
FB of the Airway:
What to order?
Plain X-ray of the Chest (PA view - Lateral
view)
Computed Tomography of the Chest
When?
Children Bad Habits Unconscious
patient.
Findings
Emergency Radiology
Cardiovascular Emergencies:
CHF
Pericardial effusion
Aortic dissection, trauma.
Pulmonary Edema
Pulmonary Embolism.
Peripheral ischemia (acute)
DVT
Emergency Radiology
CHF:
What to order?
Plain X-ray of the Chest (PA view - Lateral
view)
Echocardiography
When?
Dyspnea signs of low cardiac output.
Findings
Emergency Radiology
Pericardial effusion:
What to order?
Plain X-ray of the Chest (PA view - Lateral
view)
Echocardiography
When?
Chest pain friction rub faint heart
sounds on auscultation.
Findings
Emergency Radiology
Aortic dissection:
What to order?
When?
Sudden severe tearing substernal chest
pain.
Findings
Emergency Radiology
Acute peripheral ischemia:
What to order?
Arteriography
Color doppler Ultrasound (chronic)
When?
Sudden onset of severe pain, coldness,
numbness or pallor in a portion of an
extremity.
Findings
Emergency Radiology
DVT (Deep Vein Thrombosis):
What to order?
Color Doppler Ultrasound.
Venography
When?
Asymptomatic pain edema skin
discoloration.
Findings
Emergency Radiology
Abdominal Emergencies:
Abdominal Trauma
Hemoperitonium
Visceral injuries (Liver, Spleen, Kidney,
UB, etc.)
Non-Traumatic emergencies.
Intestinal obstruction, Appendicitis, GUT
perforation
Ascites, Jaundice, peritonitis, GI bleeding
Emergency Radiology
Abdominal trauma:
What to order?
When?
History of trauma to the abdomen Motor
vehicle accidents.
Findings
Emergency Radiology
Miscellaneous Abdominal Emergencies:
Intestinal Obstruction
What to order?
Abdominal radiograph.
CT scan
When?
Crampy abdominal pain nausea
vomiting abdominal tenderness.
Findings
&
Emergency Radiology
Miscellaneous Abdominal Emergencies:
When?
History of peptic ulceration signs of
peritonitis.
Findings
Emergency Radiology
Miscellaneous Abdominal Emergencies:
Jaundice
What to order?
Ultrasound
CT scan
Percutaneous transhepatic cholangiography (PTHC)
Endoscopic
retrograde
cholangiopancreatograpgy
(ERCP)
When?
Yellowish discoloration of the skin dark urine
pale stools
Findings
Emergency Radiology
Miscellaneous Abdominal Emergencies:
Appendicitis:
What to order?
Abdominal radiograph.
Ultrasound
CT scan
When?
Sudden onset of epigastric pain rebound
tenderness.
Findings
Emergency Radiology
Miscellaneous Abdominal Emergencies:
Cholecystitis:
What to order?
Ultrasound
When?
Sudden onset of epigastric pain rebound
tenderness.
Findings
Emergency Radiology
Genitourinary Emergencies:
UT stones
Hematuria
Urinary tract trauma.
Urethral Injuries, stones (male)
Scrotal injuries, swellings, testicular
torsion, epidiymitis (male)
Emergency Radiology
Ureteric Stones (Renal Colic):
What to order?
When?
Sudden onset of loin pain radiating to the
groin.
Findings
Emergency Radiology
Hematuria (Painful - Painless):
What to order?
When?
Passage of blood or blood clots with urination
(either painful or painless).
Findings
Emergency Radiology
Urinary tract trauma (Renal Urinary
When?
History of blunt trauma to the abdomen Falling
astride.
Findings
Emergency Radiology
Scrotal emergencies:
What to order?
Ultrasound with color Doppler.
When?
Acute scrotal pain trauma to testis.
Findings
Emergency Radiology
Gyncological & Obstetric Emergencies:
Ovarian Torsion
PID
Abortion
Ectopic pregnancy
Placenta Previa
Emergency Radiology
Gynecological emergencies:
What to order?
Ultrasound (Color Doppler)
When?
Lower abdominal pain fever vaginal
discharge
Findings
Emergency Radiology
Obstetric emergencies:
What to order?
Ultrasound (Color Doppler)
When?
Bleeding in early / late pregnancy.
Findings
Emergency Radiology
Muscloskeletal Emergencies:
Upper & lower extremities Fractures &
dislocations
Pelvic Fractures.
Joint injuries
Ligaments and tendons injuries.
Emergency Radiology
Muscloskeletal emergencies:
What to order?
Plain X-ray.
CT scan.
MRI
When?
History of trauma.
Findings
Emergency Radiology
Pediatric Emergencies:
Neonatal
emergencies
obstruction )
Intussception.
Foreign body aspiration.
Bone injuries.
(intestinal
Duodenal Atresia
Ileal Atresia