Experts reaffirm safety of contrast use for kidney CT
Concerns over the potential harms associated with intravenous iodinated contrast...Read more on AuntMinnie.comRelated Reading: AI can differentiate small renal masses on CT Could patient history help predict CT contrast reactions? Low-energy scanning methods cut CT contrast dose Oral contrast not needed to spot kids' appendicitis on CT Bottoms up: Oral contrast preferred over missed finding
By STEPHEN BORSTELMANN, MD Occasionally, you get handed a question you know little about, but it’s clear you need to know more. Like most of us these days, I was chatting with my colleagues about the novel coronavirus. It goes by several names: SARS-CoV-2, 2019-nCoV or COVID-19 but I’ll just call it COVID. Declared a pandemic on March 12, 2020 by the World Health Organization (WHO), COVID is diagnosed by laboratory test – PCR. The early PCR test used in Wuhan was apparently low sensitivity (30-60%), lengthy to run (days), and in short supply. As CT scanning was relatively availa...
We present this rare case of mass-like appendiceal actinomycosis treated with single-port laparoscopic method. PMID: 32178493 [PubMed - as supplied by publisher]
By BOB HERTZ The only way to fully eliminate medical debt would be a comprehensive single payer plan, which allowed no fees at the point of service. However, such a plan would require setting all prices for all doctors, hospitals, labs, and drug companies. All providers would have to be satisfied – in advance — with what the government is going to pay them on each procedure. Countries like Germany accomplish this through collective bargaining. Japan, France, Taiwan, Israel and Scandinavia also have national fee schedules. However, I do not think you could get all the providers in Toledo to agree on on...
ConclusionsThere is a relationship between increase in diameter of ileocecal lipomatosis and appendicitis formation.
Conclusions While the BMI cutoff standard of less than 25 kg/m2 for usefulness of appendix US holds in the adult population, our data expand the acceptable range in children younger than 9 years regardless of BMI and male children with BMI up to 30 kg/m2. Female children younger than 15 years with a BMI up to 30 kg/m2 may also be amenable to right lower quadrant US based on AWT. These parameters inform selective and efficient use of US for appendix evaluation.
Abstract Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in diagnosing deep venous thrombosis. POCUS has high accuracy for diagnosing pneumonia and detecting acute decompensated heart failure but is less accurate than computed tomography for identifying pulmonary embolism. POCUS confirmation of intrauterine pregnancy rules out an ectopic pregnancy. In the third trimester of high-risk preg...
CONCLUSION Appendiceal tumors are possible findings in appendix specimens, and most patients had uncomplicated acute appendicitis. In light of findings we conclude that CT cannot be used to exclude neoplastic etiology underlying acute appendicitis. LEVEL OF EVIDENCE Diagnostic, level IV.
ConclusionIt is crucial to understand the correct management of perforated appendicitis with abscess to avoid serious complications.
CT procedure volume has reached an all-time high in the U.S., hitting an estimated...Read more on AuntMinnie.comRelated Reading: Could cold, hard cash reduce unnecessary head CT scans? Concerns grow over CT radiation for kidney stones Emergency CT usage rate soars for urinary stones Head CT offers low diagnostic yield for fainting Adult hospitals overuse CT for appendicitis in kids
Ultrasound scans followed by CT if necessary may be the most cost-effective...Read more on AuntMinnie.comRelated Reading: MRI faster, cheaper than ultrasound for appendicitis Adult hospitals overuse CT for appendicitis in kids MRI should be 1st choice for pediatric appendicitis MRI matches CT for appendicitis -- and without radiation US, CT, MRI offer options for diagnosing appendicitis