By Gabriel Conder, John Rendle, Sarah Kidd, Dr Rakesh R. Misra
A-Z of belly Radiology presents a concise, simply available radiological advisor to the imaging of the typical problems of the stomach and pelvis. Organised via A-Z, every one access offers easy accessibility to the main scientific positive aspects of the situation. part 1 stories the appropriate radiological anatomy of the stomach and pelvis. this is often through over eighty belly issues, directory features, medical gains, radiological positive aspects and suitable medical administration. every one ailment is extremely illustrated to assist analysis. A-Z of belly Radiology is a useful speedy reference for the busy clinician and aide memoir for examination revision in either drugs and radiology.
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Extra resources for A-Z of Abdominal Radiology
USS: • This is the investigation of choice to confirm the presence of ascites, without the use of ionising radiation. • US may provide additional information about the ascites such as loculation or the presence of debris within the fluid. • In addition, US allows the siting of diagnostic taps or therapeutic drains. • Evidence as to the aetiology of the ascites can also be gained, such as the presence of cirrhosis. 46 A Ascites Ascites. Generalised ‘greying’ of the abdominal film in AXR with several centralised bowel loops.
47 A A to Z of Abdominal Radiology 48 • CT: • The radiation dose precludes this as an investigation to confirm the presence of ascites, but CT often confirms the presence and extent of ascites when performed for another reason. • The cause may also be identified, such as evidence of pancreatitis. • It is less sensitive than US in assessing for loculation or debris within the ascitic fluid. A Ascites Ascites. Large-volume ascites (asterisk) and a small left basal pleural effusion in CT image (arrow).
Typically presents with RIF pain, nausea, vomiting, fever and evidence of inflammation such as raised WBC and CRP. • However, one-third may have an atypical presentation. • Complications include localised perforation, abscess formation and generalised peritonitis. Rarely an obstructed appendix becomes distended by abnormal accumulation of mucus, forming an appendix mucocoele. Radiological features • AXR: • Is neither sensitive nor specific but can provide clues. • The presence of a calcified appendicolith in the RLQ, combined with abdominal pain, has a high positive predictive value for acute appendicitis.
A-Z of Abdominal Radiology by Gabriel Conder, John Rendle, Sarah Kidd, Dr Rakesh R. Misra