The gasless mid-abdomen on this radiograph (A) may represent a pseudo-tumor sign (fluid-filled loops of dilated bowel), although this finding would be.

Slides:



Advertisements
Similar presentations
ACLS algorithm for bradycardia
Advertisements

ACLS algorithm for VF/VT
Transverse illustration of the upper abdomen that demonstrates the dependent compartments where free intraperitoneal fluid may collect (A). A transverse.
Adhesive capsulitis of the shoulder
Nephroduodenal fistula and small-bowel obstruction from renal staghorn calculus. Left: Excretory urogram showing nonfunction of right kidney; staghorn.
Comparison of imaging methods
CT showed the fat/blood level in the suprapatellar bursa (E, arrow) and a subtle nondisplaced tibial plateau fracture (F, arrow). Source: Chapter IV-3.
[C from: Markowitz SK, Ziter FHM: The lateral chest film and pneumoperitoneum. Ann Emerg Med 1986;15:425–427, with permission.] Source: Chapter II-3. Pneumoperitoneum,
GIT Radiological investigations and anatomy
Cystic and varicose bronchiectasis
Curved multiplanar maximal intensity projection of the left main coronary artery and left anterior descending artery demonstrates calcific atherosclerotic.
Algorithm for troubleshooting external ventricular drain (EVD) blockage. CSF, cerebrospinal fluid; NS, normal saline; CT, computed tomography; EVD, external.
Reproduced from Hadzic A
Reproduced from Hadzic A
ACLS algorithm for asystole
Acoustic enhancement increasing the signal off the posterior wall of the bladder (black arrow). Source: Chapter 2. Ultrasound Basics, Handbook of Critical.
Wong-Baker FACES pain scale (Wong-Baker FACES Foundation (2015)
A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.
A mild and inconsistent asymmetry of photic driving response is frequently seen in normal individuals. An asymmetry in photic driving response may result.
Diagnostic approach: Dizziness.
CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.
A-C: AP mortise and lateral views of the right ankle show a subtle nondisplaced fracture of the lateral malleolus. The fracture is best seen on the mortise.
Equipment for continuous sciatic block
Multiple hepatic cysts in the setting of ADPKD
Communication strategy: increasing mammogram use
Radiograph of a giant cell tumor of the thumb
Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.
Negative-feedback control systems
Umbilical artery catheter insertion. (A) Artery dilation
The role of the ileocecal valve in obstruction of the colon
Single view of the chest and abdomen shows the orogastric tube terminating in an air-filled, distended pharyngeal pouch (black arrow) consistent with esophageal.
Hydronephrosis. A: Longitudinal scan from a patient with hydronephrosis due to chronic reflux. Numerous dilated fluid-filled spaces (calices) are seen.
[From Pansky B: Review of Gross Anatomy, 6th ed
(F) A femoral hernia follows the course of the femoral artery and vein into the anterior thigh inferior to the inguinal ligament. Source: Chapter II-1.
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
Cross-table lateral radiograph of the cervical spine shows a flexion teardrop injury at the C5 level. In addition to the fracture of the anterior, inferior.
A standard epidural order form.
A tension pneumothorax should have been suspected based on the clinical scenario and the absence of breath sounds on the left. Emergency needle decompression.
Diagnosis and surgical treatment of glomus tumor
This 3-year-old child developed abdominal distention and bloody diarrhea after a fishing trip during which she consumed lake water. She had a prior history.
Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.
Clavicle Fracture. This 12-year-old boy complains of pain, tenderness, and deformity over the mid left clavicle after an injury incurred during football.
Single high-resolution CT image of a patient with pulmonary fibrosis from sarcoidosis. Note the interlobular and intralobular septal lines along with traction.
CT scan showing two large gallstones that have a rim of calcification (large arrows). (From Schwartz DT, Reisdorff EJ. Emergency Radiology. New York: McGraw-Hill;
(A) Several round identical purpuric lesions are seen on the back because of cupping that was used to relieve back pain. First- or second-degree burns.
A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.
Colon carcinoma. (A) A colon cancer is often demonstrated as an irregular-shaped hypoechoic mass with an echogenic core inside, which is called the “pseudokidney.
Pancreatic neuroendocrine tumor (PNET) demonstrating enhancement during arterial phase of CT scan. Pancreatic head PNET seen in (left) sagital, (middle)
SBO from ventral hernia
Axial CT view of a ventral hernia with incarcerated transverse colon (arrow). Note the defect in the fascia. Source: HERNIAS, Acute Care Surgery: Imaging.
Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.
A, B: Numerous fibroid tumors alter the normal contours of the uterus
Carcinoid. Coronal CT image shows a central mesenteric mass (arrow) with spiculated margin and central calcifications representative of carcinoid tumor.
Coronal CT shows a circumferential mass with ill-defined margins obstructing the sigmoid colon (white arrows). Also note the multiple hepatic hypoattenuating.
[From: Galli : et al: Emergency Orthopedics: The Spine
Small bowel obstruction
Lymphoma of the small bowel
A, B: Transvaginal images now demonstrate a rounded yolk sac within the gestational sac. Source: Chapter 7. Atraumatic Conditions of the Abdomen, The Atlas.
(A) Normal AP view in internal rotation
Small-bowel obstruction
(A) Large bowel obstruction
The patient underwent sigmoid resection with colostomy
01 Jan 2018 Courtesy of Madi Lindauer
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Young Woman With Abdominal Pain
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

The gasless mid-abdomen on this radiograph (A) may represent a pseudo-tumor sign (fluid-filled loops of dilated bowel), although this finding would be impossible to identify without knowing the CT results. Gas in the colon is often seen in closed-loop obstruction because the onset of obstruction is rapid and gut motility is diminished due to the severity of pain. Source: Chapter II-1. Small Bowel Obstruction, Emergency Radiology: Case Studies Citation: Schwartz DT. Emergency Radiology: Case Studies; 2008 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/schw1/schw1_c017f018b.jpg&sec=41826742&BookID=434&ChapterSecID=41825427&imagename= Accessed: October 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved