Emergency Radiology MAHMUOD.pdf

Emergency Radiology  What to t o order, or der, When When

Prof. Mahmoud Dawoud  Chair Chairman man of the th e Radi Radiol ology ogy & Imaging De pt.. Imagi Ima ging ng Dept Dept. Tanta Ta nta U niversit ersity y  – F aculty Me Tant a Univ University Universi ty Facul Fa culty ty of o f Medic Medicine dic ine

Emergency Radiology 

•

What are the different Radiological investigation to order In different Emergency situations 

Emergency Radiology  • Common Topics  –  –  –  –  –  –  –  –  –  –  –

CNS Emergencies Face & Neck Emergencies. Spinal Emergencies. Chest Emergencies. Cardiovascular Emergencies. Emergencies. Abdominal Emergencies. Gynecological & Obstetrical emergencies. Male Genitourinary Emergencies. Pelvis Extremities Pediatric Emergencies

Emergency  Radiology  • CNS Emergencies:  – Skull Fractures Fractures  – Hemorrhage: Hemorrhage: (Traumatic–Non (Traumatic–Non Traumatic) Traumatic) • Extra-axial ial • Parenchym hymal

 – Cerebral infarction. infarction.  – Spinal trauma. trauma.

Emergency Radiology  • CNS Emergencies:  –   – What to order: order: • Plai Plain n X-ra X-ray y of of the the skull skull (late (latera rall v view iew - AP) AP) • Compute Computed d tomogr tomograph aphy y of of the Brai Brain n (Axial (Axial –  Coronal) (bone window)

 – When: • His History tory of tra traum uma a – evid iden entt in injury jury of th the scalp

 – Findings:

Skull Fractures (Plain X-ray) 

Skull Fractures (Plain X-ray) 

Skull Fractures (CT Scan) 

Bone window

Skull Fractures (CT Scan) 

Soft tissue window

Bone window

Skull Fractures (CT Scan) 

Skull Fractures (CT Scan) 3D Reconstruction 

Emergency Radiology  • CNS Emergencies:  –   – What to order: order: • Compute Computed d tomogr tomograph aphy y (CT) (CT) of the Brai Brain n (Axial)

 – When: • Head Head traum trauma a – focal focal neur neurolo ologi gica call defec defect. t.

 – Findings:

Emergency Radiology  • CNS Emergencies:  –   – Findings in: • Extra Du Dural Blood • Subdural Blood. • Cere Cerebr bral al cont contus usio ion. n.

Traum Traumatic atic Extrad Extraddur dural al Hemato Hematoma ma (CT (CT Scan)  Scan) 

Trau Trauma matic tic Sub Subdu dura rall Hema Hemato toma ma (CT (CT Scan Scan)  ) 

Traumatic Cerebral Contusion (CT Scan) 

Traumatic Cerebral Contusion (CT Scan) 

Emergency Radiology  • CNS Emergencies:  –   – Findings in: • Suba Subara rach chno noid id Bloo Blood d • Intr Intra apare paren nchy chymal mal Bloo lood. • Intr Intra avent ventri ric cular ular Blood lood

Subarachno Subarachnoid id Hemorrhage Hemorrhage (CT Scan)  Scan) 

Intraparen Intraparenchymal chymal Hemorrhage Hemorrhage (CT Scan) 

Intraparenchymal Angiography) 

Hemorrhage

(CT

Scan,

Intraventr Intraventricular icular Hemorrhage Hemorrhage (CT Scan)