By Michelle M. Bittle
Trauma Radiology spouse, moment Edition is an easy-to-use, fast reference for trauma imaging designed for radiology citizens, radiologists, and emergency physicians. The bulleted, key element layout permits fast entry to succinct info to be used within the medical atmosphere. in contrast to conventional radiologic texts that emphasize photo interpretation and stick to a radiographic trend, disease-oriented, anatomic web site, or modality-specific approach, this handbook offers easy-to-look-up solutions to universal and unusual questions that come up in daily paintings, in addition to in education and learning. The textual content is written in bulleted variety to stress key issues relating to the typical diagnoses encountered within the trauma environment. This new edition presents updated scientific and radiologic details and pictures, represents all imaging modalities now in use, and contains present MDCT protocols.
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Additional resources for Trauma Radiology Companion: Methods, Guidelines, and Imaging Fundamentals
Indd 38 A subdural hematoma (SDH) is considered to be chronic when it has been present for at least 3 weeks and is hypodense relative to brain on CT. Between 1 and 3 weeks, a subacute SDH may be isodense to brain parenchyma and difficult to identify if small. The majority of patients with a chronic SDH have either no history of antecedent trauma or a history of minor injury. Associated brain injuries are unusual. Peak incidence of a chronic SDH is during the seventh decade and it is often associated with underlying brain atrophy.
If patient is unable to cooperate fully, use one of the angiographic suites. Patient position: generally, supine and supine obliques (LPO, RPO) If patient can swallow, do not use an enteric tube. If the patient is unable to cooperate, a tube esophagram is necessary. Tube positioning, hand injecting contrast and imaging: Position enteric (nasogastric or orogastric) tube tip at junction of middle and distal thirds of esophagus and position central beam through this point. Collimate vertically. Suspend respiration, begin filming at four frames/s, and hand inject 50 mL of the ionic contrast as fast as possible.
Prediction of recovery from a post-traumatic coma state by diffusion-weighted imaging (DWI) in patients with diffuse axonal injury. Neuroradiology 2007;49(3):271–279. indd 34 The classic presentation of an acute epidural hematoma (EDH) is a lucid interval after a blow to the head, followed by an acute deterioration in the level of consciousness. This presentation may occur 50% of the time. An EDH is usually due to disruption of a meningeal artery (90%), typically the middle meningeal artery, with hemorrhage between the dura mater and inner table of the skull.
Trauma Radiology Companion: Methods, Guidelines, and Imaging Fundamentals by Michelle M. Bittle