Emergency Radiology · Emergency Radiology Eric Patrick, M.D. TRAUMATIC vs. NONTRAUMATIC...
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Emergency Radiology Eric Patrick, M.D.
Transcript of Emergency Radiology · Emergency Radiology Eric Patrick, M.D. TRAUMATIC vs. NONTRAUMATIC...
Emergency Radiology
Eric Patrick, M.D.
TRAUMATIC
vs.
NONTRAUMATIC
EMERGENCIES
CHEST
Normal
Trachea
Aorta
Spine Note:
Density is darker
inferiorly
History: FEVER
“SPINE SIGN”
DIAGNOSIS?
-Pneumonia
Lingula
Pneumonia
Hx: FEVER
Visceral Pleural Line
Mediastinal Shift
-Tension PTX
Hx: STAB WOUND
?Treatment
TENSION PNEUMOTHORAX
CHEST REVIEW
-Normal CXR
-Pneumonia
-Pneumothorax (do not miss) and tx
ABDOMEN
Normal
abdomen
radiograph
SBO
SBO
SBO
SBO
SBO
Free air under right hemidiaphragm
PNEUMO
PERITONEUM
SBO
Rigler’s Sign: free air
Rigler’s Sign: free air
Appendicitis
20 yo patient, RLQ pain
22 Hx: RUQ
PAIN
gallstones
Acute
Cholecystitis
Positive
Sonographic
Murphy’s Sign
ABDOMEN REVIEW
-SBO
-Pneumoperitoneum
-Appendicitis
-Cholecystitis
NEURO
TRAUMA - NEURORADIOLOGY
SUBDURAL HEMATOMA
SUBARACHNOID HEMORRHAGE
EPIDURAL HEMATOMA
CONTUSION
Normal head CT
hx
Hx: trauma
Subdural
Hematoma
Hx: trauma
Subdural
Hematoma
Subdural
Hematoma
EPIDURAL
HEMATOMA
Does not cross suture lines
EPIDURAL
HEMATOMA
+fracture
Subdural
Hematoma
NEURORADIOLOGY
SUBDURAL HEMATOMA
EPIDURAL HEMATOMA
SUBARACHNOID HEMORRHAGE
CONTUSION
Subarachnoid Hemorrhage
CAUSES
TRAUMA
ANEURYSM
Traumatic
SAH
SAH secondary to
MCA aneurysm
NEURORADIOLOGY
SUBDURAL HEMATOMA
EPIDURAL HEMATOMA
SUBARACHNOID HEMORRHAGE
CONTUSION
contusion
Subdural hematoma
Epidural hematoma
contusion
NonTraumatic Emergency
Cerebrovascular Accident
Ask: is the stroke hemorrhagic?
Acute hemorrhage right basal ganglia Normal
NEURO REVIEW
-SUBDURAL HEMATOMA
-EPIDURAL HEMATOMA
-SUBARACHNOID HEMORRHAGE
-CONTUSION
-STROKE: hemorrhagic vs. ischemic?
TUBES, LINES,
& FOREIGN BODIES
Normal
feeding tube
position
Feeding tube in right
mainstem bronchus
Feeding tube in right
mainstem bronchus
(and beyond)
Feeding tube in right
mainstem bronchus
(and beyond)
Feeding tube removed
+PNEUMOTHORAX
Feeding tube in left
mainstem bronchus
Right mainstem
intubation
Bottle in rectum
batteries
blade
needle
blade
Coin in
esophagus
Hx: Central
line just
placed
+PTX
Remember:
-Tubes and lines are not benign
-Always check placement and for
possible complications
THE END
