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Related Concept Videos

Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

Imaging Studies I: Kidney, Ureter, and Bladder Studies

Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
Ultrasound I: Abdominal Ultrasonography01:20

Ultrasound I: Abdominal Ultrasonography

Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
X-ray Imaging01:24

X-ray Imaging

German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with X-rays, and by 1900, X-ray was widely...
Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.

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Related Experiment Video

Updated: Jun 6, 2026

The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit
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The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit

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Abdominal imaging in child abuse.

Maria Raissaki1, Corinne Veyrac, Eleonore Blondiaux

  • 1Department of Radiology, University Hospital of Heraklion, Heraklion, Crete, Greece. mraissaki@yahoo.gr

Pediatric Radiology
|November 20, 2010
PubMed
Summary

Child abuse can cause serious abdominal injuries. Radiologists must suspect non-accidental trauma in children with abdominal symptoms, using CT scans for diagnosis.

Area of Science:

  • Pediatric Radiology
  • Child Abuse Detection
  • Forensic Imaging

Background:

  • Abdominal injuries in abused children, though less common than other trauma types, have high mortality and morbidity.
  • Radiologists play a crucial role in documenting and evaluating injuries in all trauma cases, irrespective of cause.
  • Identifying inflicted abdominal injuries requires a high index of suspicion due to the lack of specific injury patterns.

Purpose of the Study:

  • To highlight the importance of considering child abuse in cases of unexplained acute abdominal symptoms in young children.
  • To outline key clinical indicators and imaging modalities for diagnosing inflicted abdominal injuries in pediatric patients.

Main Methods:

  • Computed Tomography (CT) with intravenous contrast is the primary imaging modality for suspected inflicted abdominal injuries.

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  • Ultrasound (US) serves as an initial imaging test for low-probability cases and for follow-up examinations.
  • Upper gastrointestinal series can aid in evaluating mural hematomas when CT or US findings are equivocal.
  • Main Results:

    • No specific abdominal injury pattern is pathognomonic for physical abuse; a broad range of injuries can occur.
    • Clinical suspicion should be raised by factors such as delayed medical attention, history of trauma, young age, malnutrition, and implausible injury explanations.
    • Specific organ injuries (pancreatic, hollow visceral, solid organ) warrant heightened vigilance for potential abuse.

    Conclusions:

    • Child abuse must be included in the differential diagnosis for acute abdominal conditions in pediatric patients.
    • Prompt and accurate radiological assessment is vital for the timely identification and management of inflicted abdominal trauma.