Playlist 'GI8-P1-All' by tuanleminh

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Imaging is requested. What are your choices as a radiologist on-call?

Many centres (including the author's centre) prefer multidetector CT as a diagnostic test in the evaluation of acute abdomen, due to the modality´s high accuracy. While ultrasonography is both less sensitive and specific as well as operator dependent, it is useful in evaluating for the majority of the many differential diagnoses of acute abdomen, especially when CT is relatively contraindicated, such as in young patients, pregnant women or suspected ectopic pregnancy. With experienced hands, it might be close to non-inferior.

Presentation

Slight discomfort in right lower quadrant for 1 week. Acutely aggravated at day of presentation to emergency service together with chills and fever. Nausea but no vomiting. Muscular defense in right lower quadrant, but no deep tenderness at McBurney´s point. Pyrexia, elevated leukocyte count and C-reactive protein.

Patient Data

Age:	50 years
Gender:	Female

Radiopaedia.org

Patient Data