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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...
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Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

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Computed Tomography (CT) scan:
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Published on: November 9, 2016

Does limiting oral contrast decrease emergency department length of stay?

Christy L Hopkins1, Troy Madsen, Zachary Foy

  • 1Department of Surgery, Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, Utah.

The Western Journal of Emergency Medicine
|January 30, 2013
PubMed
Summary
This summary is machine-generated.

A new intravenous-contrast only abdominal/pelvic computed tomography (ABCT) protocol significantly reduced emergency department (ED) length of stay (LOS) for patients with acute abdominal pain. This streamlined imaging approach offers faster patient throughput in the ED.

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Area of Science:

  • Radiology
  • Emergency Medicine
  • Health Services Research

Background:

  • Emergency departments (EDs) face challenges with patient flow and timely diagnostics.
  • Computed tomography (CT) scans are crucial for diagnosing acute abdominal conditions.
  • Optimizing CT protocols can improve ED efficiency.

Purpose of the Study:

  • To evaluate the impact of an intravenous (IV)-contrast only abdominal/pelvic CT (ABCT) protocol on ED length of stay (LOS).
  • To compare the ED LOS of patients undergoing the new IV-contrast only ABCT protocol versus historical controls receiving oral/IV contrast.

Main Methods:

  • Retrospective case-controlled study at a single academic medical center.
  • Included adult patients (≥18 years) with non-traumatic abdominal pain undergoing ABCT.
  • Compared ED LOS and disposition between patients with IV-contrast only ABCT and PO/IV contrast ABCT.

Main Results:

  • 184 patients underwent IV-contrast only ABCT, compared to 211 patients with PO/IV contrast ABCT.
  • ED LOS was significantly shorter for the IV-contrast only group (4:35 hrs) versus the PO/IV contrast group (6:39 hrs) (p < 0.0001).

Conclusions:

  • Implementing an IV-contrast only ABCT protocol for select ED patients with acute abdominal pain significantly decreases ED LOS.
  • This protocol optimization can lead to improved patient throughput and resource utilization in emergency settings.