ABSTRACT
Pelvic pain is a common complaint in female patients who present to the emergency department. Although encountered frequently, the path to a definitive diagnosis is not always a straightforward one, and imaging offers a valuable tool to aid in this diagnostic challenge. Radiologists must be familiar with the most common etiologies of female pelvic pain in the emergency setting, their imaging characteristics, and the best way to further evaluate challenging clinical presentations. This allows the radiologist to serve as a valuable asset to the treating physician, aiding in accurate diagnosis, and in guiding the course of treatment, all while ensuring the "Image Wisely" principle. A sonographic approach to female patients presenting to the emergency setting with pelvic pain has been presented in this article and some example entities along with their imaging findings have also been reviewed.
Subject(s)
Appendicitis/diagnostic imaging , Emergency Service, Hospital , Genital Diseases, Female/diagnostic imaging , Pregnancy, Ectopic/diagnostic imaging , Ultrasonography/methods , Ureteral Calculi/diagnostic imaging , Diagnosis, Differential , Emergencies , Female , Genital Diseases, Female/complications , Genitalia, Female/diagnostic imaging , Humans , Pelvic Pain/diagnostic imaging , Pelvic Pain/etiology , Pelvis/diagnostic imaging , PregnancyABSTRACT
Superficial lumps and bumps are a common presenting complaint in the pediatric patient population. Although encountered frequently, the path to a definitive diagnosis is not always a straightforward one. Imaging offers a valuable tool to aid in this diagnostic challenge. Radiologists must be familiar with pediatric lumps and bumps, their imaging characteristics, and the best way to further evaluate challenging clinical presentations. This will not only allow the radiologist to serve as a valuable asset to the treating physician in choosing the most appropriate imaging modality but also help in accurate diagnosis, all while ensuring the "image gently" principle. An algorithm for imaging in the pediatric patient with lumps and bumps has been presented in this article and a few example entities along with their imaging findings have also been reviewed.
Subject(s)
Algorithms , Diagnostic Imaging/methods , Lymphatic Abnormalities/diagnosis , Musculoskeletal Diseases/diagnosis , Soft Tissue Infections/diagnosis , Vascular Malformations/diagnosis , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Magnetic Resonance Imaging/methods , Male , Pediatrics/methods , Tomography, X-Ray Computed/methods , Ultrasonography/methodsABSTRACT
BACKGROUND: Nephrolithiasis is a common medical condition among aviation personnel that can negatively impact their health and careers. Due to the potentially severe consequences of in-flight renal colic associated with nephrolithiasis, current Navy regulations stipulate extensive evaluation for any aircrew member who has an instance of kidney stones. CASE REPORT: Two cases of Naval aircrew members with kidney stones are reviewed and current Navy standards regarding nephrolithiasis are discussed. DISCUSSION: Current Navy standards for granting aeromedical waivers for kidney stones do not differentiate between pilots in actual control of the aircraft and other aircrew members among aircraft personnel. Furthermore, a premium is placed on stone-free status, even for asymptomatic, incidentally found nephroliths. This policy has many similarities, but also significant differences from those of other services and those of civilian aviation authorities. This difference in protocols across aviation communities should be re-examined in order to promote more efficient return to flying duties of operational personnel without compromising safety of flight.
