Chad Miller

All articles by Chad Miller

Angioedema

Preliminary Diagnosis: Angioedema I. What imaging technique is first-line for this diagnosis? Contrasted CT of the soft tissue, visceral organ, or structure of interest. II. Describe the advantages and disadvantages of this technique for diagnosis of angioedema. Advantages Offers exquisite detail of the underlying soft tissue, surrounding vascular structures, osseous structures, and lymphatic structures Relatively…

Alveolar Proteinosis

Preliminary Diagnosis: Alveolar Proteinosis I. What imaging technique is first-line for this diagnosis? Plain radiography of the chest, PA and lateral views II. Describe the advantages and disadvantages of this technique for diagnosis of alveolar proteinosis. Advantages Highly portable, fast imaging modality Exposes the patient to negligible ionizing radiationContinue Reading Relatively inexpensive imaging modality Disadvantages…

Adenocarcinoma of the small intestine

Preliminary Diagnosis: Adenocarcinoma of the Small Intestine I. What imaging technique is first-line for this diagnosis CT of the Abdomen and Pelvis with intravenous (IV) and oral (PO) contrast II. Describe the advantages and disadvantages of this technique for diagnosis of Adenocarcinoma of the Small Intestine. Advantages Highly sensitive and specific in detecting and characterizing…

Abdominal fistulas

Preliminary Diagnosis: Abdominal Fistulas I. What imaging technique is first-line for this diagnosis? CT with oral and intravenous contrast II. Describe the advantages and disadvantages of this technique for diagnosis of abdominal fistulas. Advantages Quick examination after allowing oral contrast to migrate through the bowel Specific examination in identifying a particular place of bowel abnormality…

Acoustic Neuroma

Preliminary Diagnosis: Neuroma I. What imaging technique is first-line for this diagnosis? Contrast-enhanced brain MRI and full internal auditory canal exam II. Describe the advantages and disadvantages of this technique for diagnosis of neuroma. Advantages Can rule out retrocochlear pathology with great precision and accuracy Visualizes the internal auditory canal, cerebellar pontine angle, and vestibular…

Lung Abscess

Preliminary Diagnosis: Lung Abscess I. What imaging technique is first-line for this diagnosis Chest x-ray, PA and lateral view II. Describe the advantages and disadvantages of this technique for diagnosis of a lung abscess. Advantages Fast and inexpensive imaging modality Exposes the patient to minimal ionizing radiation Highly portableContinue Reading May be highly sensitive for…

Hyperthermia

I. What every physician needs to know. Hyperthermia is an elevation in the body’s temperature due to excess generation of heat or the inability to dissipate heat. This process is not mediated by inflammatory cytokines like fever. Hyperthermia is frequently associated with medications that rapidly accelerate the body’s metabolism to generate heat or prevent the…

Portal vein thrombosis

Preliminary Diagnosis: Portal Vein Thrombosis I. What imaging technique is first-line for this diagnosis? Gray scale, Color Doppler, and spectral waveform analysis of the portal veins. II. Describe the advantages and disadvantages of this technique for diagnosing portal vein thrombosis. Advantages Relatively quick and highly portable imaging modality. Does not expose patients to ionizing radiation.Continue…

Hepatomegaly

Preliminary Diagnosis: Hepatomegaly I. What imaging technique is first-line for this diagnosis Ultrasound with measurement of the liver in the longitudinal plane. II. Describe the advantages and disadvantages of this technique for diagnosis of hepatomegaly. Advantages Quick, inexpensive No ionizing radiation Disadvantages Operator dependent to obtain accurate longitudinal measurements of the liverContinue Reading III. What…

Gastroparesis

Preliminary Diagnosis: Gastroparesis I. What imaging technique is first-line for this diagnosis? Contrasted fluoroscopic upper GI examination II. Describe the advantages and disadvantages of this technique for diagnosis of gastroparesis. Advantages Highly portable examination Disadvantages Has limited sensitivity and is poorly specific in detailing gastroparesis compared to a nuclear medicine gastric emptying testContinue Reading May…

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