ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update

Russo, Gregory K.; Zaheer, Atif; Kamel, Ihab R.; Porter, Kristin K.; Archer-Arroyo, Krystal; Bashir, Mustafa R.; Cash, Brooks D.; Fung, Alice; McCrary, Marion; McGuire, Brendan M.; Shih, Richard D.; Stowers, J. H.; Thakrar, Kiran H.; Vij, Abhinav; Wahab, Shaun A; Zukotynski, Katherine; Carucci, Laura R.

doi:10.1016/j.jacr.2023.02.011

Cited by 3 publications

(3 citation statements)

References 53 publications

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“…UL-skanning anses fortsat som den foretrukne billeddiagnostiske undersøgelse hos patienter med smerter i højre øvre kvadrant [14] og viser høj sensitivitet og specificitet til påvisning af galdesten, når den udføres af akutmedicinere, herunder når praecisionen af akutmedicinsk UL-skanning sammenlignes med radiologisk udført UL-skanning [15]. Man skal dog vaere opmaerksom på en raekke faldgruber, der kan vanskeliggøre diagnosen, f.eks.…”

Section: Ugeskrift For Laeger Ugeskrift For Laegerunclassified

Focused abdominal ultrasound

Arvig,

Lindberg,

Wamberg

et al. 2024

Ugeskr Læger

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A focused point-of-care abdominal ultrasound is an examination performed at the patient's location and interpreted within the clinical context. This review gives an overview of this examination modality. The objective is to rapidly address predefined dichotomised questions about the presence of an abdominal aortic aneurysm, gallstones, cholecystitis, hydronephrosis, urinary retention, free intraperitoneal fluid, and small bowel obstruction. FAUS is a valuable tool for emergency physicians to promptly confirm various conditions upon the patients’ arrival, thus reducing the time to diagnosis and in some cases eliminating the need for other imaging.

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Section: Ugeskrift For Laeger Ugeskrift For Laegerunclassified

Focused abdominal ultrasound

Arvig,

Lindberg,

Wamberg

et al. 2024

Ugeskr Læger

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“…As in the general population, a right upper quadrant US is the first imaging modality of choice when the clinical presentation is suggestive of biliary pathology [ 49 ]. US typical findings include gallbladder distension (short-axis diameter > 3 cm), mural thickening (>3 mm), pericholecystic fluid, gallstones, if present, and a positive sonographic Murphy’s sign (maximal abdominal tenderness when the US probe is applied over the gallbladder) [ 50 ].…”

Section: Hepatic and Pancreatobiliary Diseasesmentioning

confidence: 99%

“…Although US usually provides the definitive diagnosis of AC, MRI should be employed as a second-line tool in equivocal cases for further assessment of the biliary tree and gallbladder, or to confirm clinal suspicion of complications [ 49 ]. MR cholangiopancreatography (MRCP) has been shown to be more accurate than non-contrast CT in diagnosing AC, with a positive predictive value of up to 100% [ 53 ], and in detecting biliary stone disease, with high sensitivity and specificity (98% and 84%, respectively) [ 54 ].…”

Section: Hepatic and Pancreatobiliary Diseasesmentioning

confidence: 99%

Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium—Part II: Non-Obstetric Complications

Masselli,

Bonito,

Gigli

et al. 2023

Diagnostics

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Emergency imaging in pregnancy and puerperium poses unique challenges both for clinicians and radiologists, requiring timely and accurate diagnosis. Delay in treatment may result in poor outcomes for both the patient and the foetus. Pregnant and puerperal patients may present in the emergency setting with acute abdominopelvic pain for various complications that can be broadly classified into obstetric and non-obstetric related diseases. Ultrasonography (US) is the primary diagnostic imaging test; however, it may be limited due to the patient’s body habitus and the overlapping of bowel loops. Computed tomography (CT) carries exposure to ionising radiation to the foetus, but may be necessary in selected cases. Magnetic resonance imaging (MRI) is a valuable complement to US in the determination of the etiology of acute abdominal pain and can be used in most settings, allowing for the identification of a broad spectrum of pathologies with a limited protocol of sequences. In this second section, we review the common non-obstetric causes for acute abdominopelvic pain in pregnancy and post partum, offering a practical approach for diagnosis and pointing out the role of imaging methods (US, MRI, CT) with the respective imaging findings.

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Implications and Limitations of Point-of-Care Ultrasound in Diagnosing Acute Cholecystitis

Weingrow

2024

Annals of Emergency Medicine

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ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update

Cited by 3 publications

References 53 publications

Focused abdominal ultrasound

Focused abdominal ultrasound

Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium—Part II: Non-Obstetric Complications

Implications and Limitations of Point-of-Care Ultrasound in Diagnosing Acute Cholecystitis

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