Cervical Spine Computed Tomography Imaging Artifact Affecting Clinical Decision-Making in the Traumatized Patient
| Autor: | Matthew S. Nies, David Rispler, Aaron C Coats |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
osseous abnormality
Pathology medicine.medical_specialty Artifact (error) Trauma patient medicine.diagnostic_test business.industry Physical examination Computed tomography computed tomography cervical spine Cervical spine Article physical examination Clinical decision making Artifact medicine discrepancy PATIENT PHYSICAL Radiology Ct findings business |
| Zdroj: | The Open Orthopaedics Journal |
| ISSN: | 1874-3250 |
| Popis: | CT scanning is an important tool in the evaluation of trauma patients. We review a case involving a trauma patient in which a cervical spine computed tomography (CT) artifact affected decision-making by physicians. The CT artifact mimicked bilateral dislocated facets (51-B1.1). On the basis of CT findings, the patient was transferred to a different hospital for evaluation. Discrepancy between the primary CT scan and patient physical exam prompted secondary CT scans and X-ray evaluation; neither of these studies showed osseous abnormalities. This case reinforces the necessity for physicians to formulate their diagnosis based upon multiple areas of information including physical examination, plain x-ray and subsequent advanced imaging, rather than relying solely on advanced imaging. |
| Databáze: | OpenAIRE |
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