Category: Radiology

Dysphagia?

Dysphagia?

By Dr. Vachon
Where does it get stuck?  #oropharynx #retrosternal #orderwhat  @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg
Known cause, Oropharynx => Modified barium swallow
Un-known cause, Oropharynx => pharyngeal dynamic radiographic exam

Retro-sternal => Bi-phasic esophagram and probably endoscopy 

Educational purposes for licensed providers.

Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

Acute Pelvic Pain?

By Dr. Vachon
Acute Pelvic Pain? – #orderwhat #pain @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg
Pregnant and gyn etiology suspected?  => US pelvis 
NOT Pregnant and gyn etiology suspected? US pelvis 
Pregnant and NON-gyn etiology suspected? US abdomen and possibly pelvis 

NOT Pregnant and NON-gyn etiology suspected? => CT abdomen and pelvis
Educational purposes for licensed providers.
Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.Of course, this is not a substitute for medical care.
Pulsatile abdominal mass on exam, next step?

Pulsatile abdominal mass on exam, next step?

By Dr. Vachon
Pulsatile abdominal mass on exam, next step?

Summary:         If asymptomatic and smaller body habits = ultrasound

                         If symptomatic or large body habitus = ABD CT without contrast

                         If symptomatic and want pre-interventional planning = ABD CT with contrast
Educational purposes for licensed providers.

Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.