Clinical diagnostic imaging in - Ascites

An appropriate sequence of diagnostic imaging procedures which will permit a rapid; accurate diagnosis with the least number of tests and with minimum expense and disconfort to the patient. Ascites if used in the wider sense as free fluid collection within the intraperitoneal cavity; should include serous fluid; blood (bloody); urine; pus; chylous as well as galliger Ascites. In the majority of cases the clinical and laboratory evaluation of patients with ascites is sufficient to reveal the cause of fluid accumulation. However even when the cause of asctes seems pretty obvious; it is important to look for other diseases that might supervene. For example ascites by cirrhosis complicated by occult hepatoma

Clinical diagnosis imaging in intestinal obstruction

In these days of sophisticated technology; the diagnosis of intestinal obsruction (and pseudo-obstruction) still depends almost entirely on plain X-rays and barium studies. Although rigid routines (and old myths) interfere with the interpretation of plain X-ray; nevertheless; the first step in intestinal obstruction is a series of plain X-rays without contrast. An erect; lateral left decubitus (2) supine and chest X-ray (3); (4); should be obtained because of several reasons. One of these reasons is the fact that a chest X-ray is necessary in all plain X-ray series for obstruction; in order not to be trapped into a wrong diagnosis of mechanical small bowel obstruction in pneumonia (not even only those limited to the lower lobes) and this; especially in aging adults and young children