Cervical Spine Imaging in Alert and Stable Trauma Patients

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
Cervical Spine ◽  
Clinical Implications ◽  
Trauma Patients ◽  
Clinical Context ◽  
Appropriate Use ◽  
Additional Information ◽  
Spine Imaging ◽  
Study Methodology

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study validating the Canadian C-spine rule for imaging the cervical spine in alert and stable trauma patients. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study shows that the Canadian C-Spine Rule may be able to identify a large group of alert and stable adult trauma patients for whom cervical spine imaging is unnecessary. It may also help to standardize the appropriate use of cervical spine imaging in the emergency department. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Cervical Spine Imaging in Blunt Trauma Patients

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Cervical Spine ◽  
Blunt Trauma ◽  
Trauma Patients ◽  
Clinical Context ◽  
Cervical Spine Injuries ◽  
Additional Information ◽  
Spine Imaging ◽  
Spine Injuries ◽  
Study Methodology ◽  
Spine Radiographs

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of cervical spine imaging in blunt trauma patients. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study presents a set of five diagnostic criteria that approach 100% sensitivity for identifying clinically important cervical spine injuries and could eliminate one-eighth of all cervical spine radiographs ordered for these patients. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Abnormal MRI of the Lumbar Spine without Back Pain

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Back Pain ◽  
Lumbar Spine ◽  
Incidental Findings ◽  
Clinical Implications ◽  
Resonance Imaging ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology ◽  
Magnetic Resonance Imaging Mri

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining incidental findings on magnetic resonance imaging (MRI) of the lumbar spine in patients without back pain. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that many people without back pain have disk bulges or protrusions on imaging of the lumbar spine, but that these findings are frequently coincidental and should not necessarily lead to further tests or interventions. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Vertebroplasty for Osteoporotic Spinal Fractures

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Spinal Fractures ◽  
Clinical Implications ◽  
Clinical Context ◽  
Similar Symptom ◽  
Additional Information ◽  
Study Methodology ◽  
Osteoporotic Spinal Fractures

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of vertebroplasty for osteoporotic spinal fractures. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. For patients with pain from fractures of less than 1 year duration, vertebroplasty brings similar symptom and quality of life improvements as a simulated vertebroplasty. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

CT Angiography for Discharge of Acute Coronary Syndrome

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Ct Angiography ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
Coronary Syndrome ◽  
Coronary Ct ◽  
Risk Patients ◽  
Study Methodology

This chapter, found in the chest pain section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) angiography for discharging patients with acute coronary syndrome from the emergency department. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that a negative coronary CT angiography examination can be used to safely expedite the discharge of low-to-intermediate risk patients who present to emergency department with possible acute coronary syndrome. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Rule Out Subarachnoid Hemorrhage for Headache

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Subarachnoid Hemorrhage ◽  
High Sensitivity ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
High Negative Predictive Value ◽  
Study Methodology ◽  
Rule Out

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) to rule out a head bleed or subarachnoid hemorrhage among patients with acute headaches. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers reported that the criteria had high sensitivity and high negative predictive value for identifying subarachnoid hemorrhage among patients presenting to the emergency department with acute nontraumatic headache that reached maximal intensity within 1 hour and with normal neurologic examinations. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Follow-Up MRI for Sciatica

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Back Pain ◽  
Clinical Implications ◽  
Resonance Imaging ◽  
Disk Herniation ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology ◽  
Magnetic Resonance Imaging Mri

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of follow-up magnetic resonance imaging (MRI) for patients with sciatica. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers concluded that the presence of disk herniation on MRI at 1-year follow-up after treatment for sciatica does not help distinguish between favorable and unfavorable clinical outcomes. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

The Cochrane Review of Screening Mammography

2016 ◽  
Author(s):  
Michael E. Hochman
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Cochrane Review ◽  
Screening Mammography ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of Doppler ultrasound for diagnosing suspected lower extremity deep venous thrombosis. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. This study demonstrated that 2-point ultrasonography is equivalent to the whole-leg ultrasonography for diagnosing symptomatic deep venous thrombosis. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Computed Tomography for Minor Head Injury

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
New Orleans ◽  
Clinical Findings ◽  
Minor Head Injury ◽  
Ct Scans ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) scans for minor head injury using the New Orleans criteria. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that head CT scans for patients with minor head injury can be safely limited to those presenting with at least 1 of 7 specific clinical findings. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Ultrasound for Diagnosing Suspected Symptomatic Deep Venous Thrombosis

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Clinical Vignette ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology ◽  
Salient Features

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of Doppler ultrasound for diagnosing suspected lower extremity deep venous thrombosis. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. This study demonstrated that 2-point ultrasonography is equivalent to the whole-leg ultrasonography for diagnosing symptomatic deep venous thrombosis. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Decision Rules for Imaging Acute Ankle Injuries

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Decision Rules ◽  
Clinical Vignette ◽  
Ankle Injuries ◽  
Clinical Implications ◽  
Foot And Ankle ◽  
Clinical Context ◽  
Additional Information ◽  
Ottawa Ankle Rules ◽  
Acute Injuries ◽  
Study Methodology

This chapter, found in the bone, joint, and extremity pain section of the book, provides a succinct synopsis of a key study examining the use of the Ottawa ankle rules for imaging acute ankle injuries. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that the refined and validated Ottawa Ankle Rules have the potential to reduce approximately 30% to 34% of all foot and ankle radiographs for acute injuries, with 100% sensitivity for reliably detecting foot and ankle fractures. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

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