Which investigation: classic cases

Trauma scenarios






























































Clinical case Primary test Other tests
ATLS protocol* C-spine XR, CT neck, chest,

CXR, pelvis XR abdomen, pelvis
Head injury CT head
Orbital trauma XR face, orbits CT
Facial trauma XR face CT
Mandibular trauma XR mandible, OPG
Spinal injury XR (pain) CT (MR if neuro deficit)
Fall and unable to weight-bear XR pelvis + lateral hip CT, MR
Simple pneumothorax CXR CT
Abdominal injury Erect CXR + AXR CT
Renal trauma CT IVU, US
Limb injury XR CT, MR, US
Scaphoid # 4-view XR MR, CT
Foreign body XR US

* Advanced Trauma Life Support. American College of Surgeons 2008


Head Injury. Methods, Evidence & Guidance. NICE 2007


Cardiovascular and respiratory scenarios















































Clinical case Primary test Other tests
STEMI CXR, PCI Echo, CT, MR, NM
N-STEMI CXR, Echo CTA, MR, NM
Heart failure CXR, Echo MR, CT, NM
PE CXR CTPA, NM, MRA
AAA US CT, MR, CTA
Ischaemic leg Duplex US CTA, MRA, Angiography
DVT Duplex US Venography
LRTI CXR
Pleural effusion CXR US, CT
Haemoptysis CXR CT, Angiography

Head and neurological scenarios



































Clinical case Primary test Other tests
Stroke CT MR, CTA, Carotid US
TIA CT, carotid US Angiography, CTA, MRA
Intracranial mass CT, MR
Sudden, severe headache CT MR, CTA
Posterior fossa signs CT, MR
Dementia CT, MR NM
?Venous sinus thrombosis CT, MR CT, MR venography

Gastrointestinal scenarios

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Mar 7, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Which investigation: classic cases

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