Symptomatic Liver Metastasis Prompting Diagnosis of Uveal Melanoma

We report the case of a 66-year-old male with symptomatic liver metastasis as the presenting manifestation of primary uveal melanoma. Upon initial presentation to an emergency department with 2 months of abdominal pain, back pain, and unintended weight loss, a computed tomography scan demonstrated diffuse liver and bone lesions, prompting referral to a medical oncologist. He was eventually examined by an ophthalmologist, who found a lesion suspicious for uveal melanoma. This was ultimately confirmed to be the primary site of his malignant metastatic melanoma, which caused his death within 2 months of presentation.

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What are the head computed tomography scan rates in children presenting with headache to an Australian community teaching hospital emergency department?

Pediatric Emergency Medicine Journal ◽

10.22470/pemj.2019.00024 ◽

2019 ◽

Vol 6 (1) ◽

pp. 31-33

Author(s):

Sharon Klim ◽

David Krieser ◽

Anne-Maree Kelly

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Teaching Hospital ◽

Hospital Emergency Department ◽

Computed Tomography Scan ◽

Hospital Emergency ◽

Australian Community ◽

Head Computed Tomography ◽

Tomography Scan ◽

Community Teaching

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Incidental finding of aberrant subclavian artery during computed tomography scan

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v3i4.13376 ◽

2015 ◽

Vol 3 (4) ◽

pp. 162-164

Author(s):

Mubarak Mohd Yusof ◽

Sharini Shamsudin

Keyword(s):

Computed Tomography ◽

Weight Loss ◽

Aortic Arch ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Incidental Finding ◽

Right Aortic Arch ◽

Aberrant Right Subclavian Artery ◽

Computed Tomography Scan ◽

Tomography Scan

Two cases of aberrant subclavian arteries were detected incidentally during computed tomography scan of the thorax for other medical conditions. The patients did not have weight loss or dysphagia lusoria. The origin and course of theaberrant subclavian arteries are related to the anomaly of the aortic arch. The variations of aberrant right subclavian artery with left aortic arch and aberrant left subclavian artery with right aortic arch on computed tomography are discussed.Journal of Kathmandu Medical CollegeVol. 3, No. 4, Oct.-Dec., 2014Page: 162-164

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Computed Tomography Scan Use in the Emergency Department Evaluation of Patients with Nonspecific Abdominal Pain Is Increasing Despite Decreased Patient Acuity

Academic Emergency Medicine ◽

10.1197/j.aem.2005.03.208 ◽

2005 ◽

Vol 12 (Supplement 1) ◽

pp. 75-75 ◽

Cited By ~ 1

Author(s):

J. Brown

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Abdominal Pain ◽

Computed Tomography Scan ◽

Patient Acuity ◽

Department Evaluation ◽

Tomography Scan

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Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

Neurology Research International ◽

10.1155/2021/6658679 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Natsinee Athinartrattanapong ◽

Chaiyaporn Yuksen ◽

Sittichok Leela-amornsin ◽

Chetsadakon Jenpanitpong ◽

Sirote Wongwaisayawan ◽

...

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Cervical Spine ◽

Spine Fracture ◽

Prediction Score ◽

Spine Injury ◽

Cervical Spine Fracture ◽

Clinical Prediction ◽

Computed Tomography Scan ◽

Tomography Scan

Background. Cervical spine fracture is approximately 2%–5%. Diagnostic imaging in developing countries has several limitations. A computed tomography scan is not available 24 hours and not cost-effective. This study aims to develop a clinical tool to identify patients who must undergo a computed tomography scan to evaluate cervical spine fracture in a noncomputed tomography scan available hospital. Methods. The study was a diagnostic prediction rule. A retrospective cross-sectional study was conducted between August 1, 2016, and December 31, 2018, at the emergency department. This study included all patients aged over 16 years who had suspected cervical spine injury and underwent a computed tomography scan at the emergency department. The predictive model and prediction scores were developed via multivariable logistic regression analysis. Results. 375 patients met the criteria. 29 (7.73%) presented with cervical spine fracture on computed tomography scan and 346 did not. Five independent factors (i.e., high-risk mechanism of injury, paraparesis, paresthesia, limited range of motion of the neck, and associated chest or facial injury) were considered good predictors of C-spine fracture. The clinical prediction score for C-spine fracture was developed by dividing the patients into three probability groups (low, 0; moderate, 1–5; and high, 6–11), and the accuracy was 82.52%. In patients with a score of 1–5, the positive likelihood ratio for C-spine fracture was 1.46. Meanwhile, those with a score of 6–11 had an LR+ of 7.16. Conclusion. In a noncomputed tomography scan available hospital, traumatic spine injuries patients with a clinical prediction score ≥1 were associated with cervical spine fracture and should undergo computed tomography scan to evaluate C-spine fracture.

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