The Role of Abdominal Radiography in the Evaluation of the Nontrauma Emergency Patient

Kellow, Zina; MacInnes, Meaghan; Kurzencwyg, David; Rawal, Shail; Jaffer, Rehana; Kovacina, Bojan; Stein, Lawrence A.

doi:10.1148/radiol.2483071772

Cited by 83 publications

(61 citation statements)

References 11 publications

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“…Most of the patients (33/140) were in age group of [11][12][13][14][15][16][17][18][19][20] Years with mean age as 33.92±17.40 years (Table 1). Male to female ratio is 1.12 with 74 males and 66 females ( Figure 1).…”

Section: Resultsmentioning

confidence: 99%

A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital

Gathwal¹,

Gathwal²,

Garg³

et al. 2016

Int J Res Med Sci

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Background: Acute abdomen is a loose term frequently used to describe the acute abdominal pain in a subgroup of patients who are seriously ill developing suddenly, over a period of several hours or few days.Methods: It was a prospective comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in Tertiary Care Hospital.Results: All the included patients (140) were imaged with abdominal X-rays series (AAS) and Ultrasonography (US) by different blinded radiologists without conveying results to either. Final diagnosis was made on the basis of clinical findings / laboratory or biochemical findings /radiological evaluation /therapeutic response / operative findings / histopathological examination. The entire data was collected, recorded and statistically analyzed as per objectives. GIT system was most commonly involved, in 75/140 cases (53.57%). Most common diagnoses were acute appendicitis, KUB calculus disease and acute cholecystitis seen in 32/140 (22.86%), 24/140 (17.14%) and 21 (15%) cases respectively. US supersedes Provisional clinical diagnosis and Radiographic evaluation in diagnosing acute abdominal conditions with Sensitivity, Positive Predictive Value, False positive rate, False Negative rate and Diagnostic Accuracy as 90.71, 100, 0 ,9.28 and 90.71 percent respectively.Conclusions: We concluded that Plain X rays can be used as screening modality in the diagnosis of acute abdominal emergencies; however ultrasound examination is cheaper, non-invasive, quick, reliable and highly accurate modality in diagnosing the exact cause of pain and its origin in a patient presenting with an acute abdomen and thus helps the physician or surgeon to plan the timely management.

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Section: Resultsmentioning

confidence: 99%

A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital

Gathwal¹,

Gathwal²,

Garg³

et al. 2016

Int J Res Med Sci

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“…The plain x-ray abdomen was found to be indispensable in imaging of abdominal gas shadows and similar results have been quoted in the literature. [9][10][11] The plain x-ray abdomen could also detect urolithiasis in 4 out of 6 patients. Thus, x-ray abdomen was useful in diagnosis of surgical causes of acute abdomen 3 .…”

Section: Discussionmentioning

confidence: 99%

Results of emergency management of acute abdomen in adults based on clinical assessment and basic imaging investigations: are advanced imaging techniques always necessary for successful treatment?

Karandikar¹

2016

Int J Res Med Sci

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“…Risks of abdominal pain of moderate to severe, and the obvious clinical symptoms may lead to intestinal obstruction, ureter stones, ischemia, or diseases of the gallbladder (Kellow et al 2008). In a retrospective study it was found that 40% of photo plain radiographs of the abdomen was considered normal had to be followed up with additional advanced checks which discovered the abnormal condition of 72% so the current role of photo plain radiographs of the abdomen benefitted that which was taken over by CT scan and ultrasound.…”

Section: Descriptive Decision-making Modelmentioning

confidence: 99%

“…The decision of the author was primarily intuitive based on recognized pattern of same signs and symptoms that were experienced by other patients with similar cases who eventually (Kellow et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Decision-making Processes for a Patient Admitted to the Accident and Emergency Department Requiring Emergency Abdominal X-ray ― A Case Study

Yuliawati

2016

AJSTD

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This case study aims to apply the processes of decision-making for a patient requiring radiologic emergency abdominal X-ray examination admitted to the accident and emergency (A&E) department in a governmentowned hospital in West Java, Indonesia. It also aims to evaluate the patient who is experiencing abdominal pain that is very unusual accompanied by bloating, vomiting, severe constipation, and abdominal cramps.The purpose of this case is to allow decision-makers to have a world view on how decisions are made with minimal errors. A sound decision can achieve this, having patients or relatives and others significant who takes part in decision-making (Thompson & Dowding 2002). Decision-making Processes for a Patient Admitted to the Accident and Emergency Department Requiring Emergency Abdominal X-ray -A Case Study Y. YULIAWATIThis study investigated the application of the various processes involved in decision-making for a case requiring radiologic emergency abdominal X-ray examination to the Accident and Emergency Department in a government-owned hospital in West Java, Indonesia. It is also aimed to evaluate the patient who was experiencing abdominal pain accompanied by bloating, vomiting, severe constipation and abdominal cramps.The decision-making models used for this case were the normative, prescriptive and descriptive judgments. A decision tree in the form of decision options that was employed in this case addressed the normative model of decision-making, while the algorithm and information processing theory focused on the prescriptive model. Lastly, the intuition that was used in this case concentrated on the descriptive model of decision-making.An emergency abdominal X-ray was indicated for the patient -a prescriptive decision. Options from decision trees were also practiced. However, the patient was in pain; therefore, she was unable to understand the alternatives that were presented. Hence, this choice was suggested by the author because, by intuition, the expectation was that the patient suffered from acute abdominal crisis.

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The Role of Abdominal Radiography in the Evaluation of the Nontrauma Emergency Patient

Cited by 83 publications

References 11 publications

A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital

A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital

Results of emergency management of acute abdomen in adults based on clinical assessment and basic imaging investigations: are advanced imaging techniques always necessary for successful treatment?

Decision-making Processes for a Patient Admitted to the Accident and Emergency Department Requiring Emergency Abdominal X-ray ― A Case Study

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