29. Abdominal Pain in the Emergency Department: How to Select the Correct Imaging for Diagnosis
Abdominal Pain in the Emergency Department: How to Select the Correct Imaging for Diagnosis
CEUs: 2 Clinical
Average read time: 55 minutes.
Short Summary of the Article:
The article discusses the use of imaging for diagnosing abdominal pain in emergency department settings. It covers different imaging modalities such as radiographs, computed tomography (CT), ultrasound, and magnetic resonance imaging (MRI), focusing on their diagnostic utility, appropriateness, and risks. Special populations like pediatric, pregnant, geriatric, and immunocompromised patients are highlighted, along with guidance on the use of contrast agents.
Learning Outcomes
Upon completion of this activity, you should have an understanding of:
- The appropriate imaging modalities for diagnosing abdominal pain in different patient populations.
- The risks associated with the use of computed tomography (CT) and other imaging technologies, especially in vulnerable populations like children and pregnant women.
- The decision-making process in selecting imaging modalities based on the suspected diagnosis and clinical presentation.
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Earned Point(s): 0 of 0, (0) Which imaging modality is commonly used first for patients presenting with abdominal pain? 4 What is the primary risk associated with the use of CT scans for abdominal pain? 6 True or False: MRI is preferred over CT for pregnant women with abdominal pain. 7 Which population is particularly vulnerable to the radiation effects of CT scans? 5 True or False: Ultrasound should be used as the first-line imaging modality for all patients with suspected appendicitis. 4 What is a major disadvantage of using MRI for abdominal pain diagnosis? 7 Which imaging modality is best for detecting kidney stones? 5 Which of the following patients would be least likely to undergo a contrast-enhanced CT scan? 6 True or False: Ultrasound is generally more useful than CT in the diagnosis of small bowel obstructions. 5 In pregnant patients, which imaging modality is preferred to minimize risk to the fetus? 7 Which of the following is a recommended first-line imaging study for evaluating right upper quadrant abdominal pain? 4 For immunocompromised patients, which imaging modality might pose higher risks? 6 Which imaging modality is most sensitive for detecting solid organ injury following trauma? 5 What is the preferred imaging technique for assessing suspected bowel perforation? 6 Which imaging modality is least likely to be used in an emergency setting due to availability and procedure time? 7
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