Thursday, January 22, 2015

Stat Radiology Call

You are cross-covering the general surgery patients at the hospital when you get a call from radiology about a stat CT abdomen pelvis with contrast. It is for an alcoholic presenting with abdominal pain radiating to the back, nausea, and vomiting.

Challenge: What's the radiologist going to tell you?

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2 comments:

RaH said...

two diagnoses pop up in my mind:
-pancreatitis, most likely acute
-pancreatic tumor

the clinical signs and the acute onset lead me towards an acute pancreatitic inflammation. treatment consists in hydrating the patient to a max, and draining necrotising cyst, and the reduce the autolysis done by the pancreativ enzymes

January 23, 2015 at 12:23 AM
Craig said...

good radiology read - it's the former
-
Stat Radiology Call

The CT shows perfused pancreatic tissue (arrow) and nonperfused pancreatic necrosis (star) from acute pancreatitis. The triangle shows peripancreatic necrosis in the transverse mesocolon.

Source: UpToDate.

January 29, 2015 at 5:58 PM

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