Practical Approach to Imaging of the Pediatric Acute Abdomen
| Autor: | Michael J. Callahan, Craig W. Lillehei, Joo Y. Cho |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Abdominal pain
medicine.medical_specialty medicine.diagnostic_test business.industry Radiography Magnetic resonance imaging Emergency department Clinical decision support system Acute abdomen Pediatrics Perinatology and Child Health Medical imaging medicine Fluoroscopy Medical physics medicine.symptom business |
| Zdroj: | Current Treatment Options in Pediatrics. 3:175-192 |
| ISSN: | 2198-6088 |
| DOI: | 10.1007/s40746-017-0089-5 |
| Popis: | Infants and children commonly present to the emergency department (ED) with abdominal pain, yet clinical evaluation of this condition remains extremely challenging due to overlapping clinical symptoms and signs. Although many causes of abdominal pain are self-limited, accurate and prompt diagnosis is important for proper triage and management, particularly in the setting of emergent conditions such as midgut volvulus or acute appendicitis. The utility of imaging with radiography and fluoroscopy is well established, although there have been significant recent advances in cross-sectional medical imaging for pediatric abdominal emergencies which allows for further applications of ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI). Superior diagnostic performance is often achieved using a combination of modalities, but a wide variety of complex imaging protocols can hinder clinicians from requesting the most appropriate imaging study. A close working relationship between radiologists and referring clinicians is encouraged to optimize the use of imaging services, particularly in the setting of the acute abdomen. Emerging clinical decision support tools can further assist clinicians to make appropriate imaging study requests. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink