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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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miércoles, 7 de octubre de 2015

Ultrasonido y apendicitis

emDocs - October 6, 2015 - By Alerhand S - Edited by Koyfman A
Benefits of Ultrasound for Appendicitis
  • Avoidance of ionizing radiation
  • More readily available and cheaper than CT
  • Quicker than CT (which in many institutions requires a 2+ hour contrast drinking period, which patients often do not tolerate anyway)
  • Faster diagnostic time for Surgeons, who can take patient to OR
Challenges
  • Lesser diagnostic capability on adults and larger children
  • Excellent specificity to “rule in”, but only moderate sensitivity to “rule out”, thus the patient may end up needing a CT anyway
  • Convincing your hospital’s Surgical team to “buy in” to the idea of appendicitis diagnosis via ultrasound
  • Training emergency physicians in bedside ultrasound for appendicitis rather than having it be performed by the radiology tech or resident
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http://www.emdocs.net/ultrasound-for-appendicitis/