Manual of Radiology: Acute Problems and Essential Procedures by John Eng MD, Clifford Weiss MD

By John Eng MD, Clifford Weiss MD

Thoroughly up to date for its moment variation, this handbook is perfect for citizens in education, specifically these junior citizens studying tips to practice techniques and dealing with the 1st months of name. The guide encapsulates the middle details wanted for accomplishing scientific examinations and picking which imaging exam is suitable for the big number of difficulties that may ensue on call.

Coverage of every medical challenge contains symptoms for trying out, protocol for attempt, attainable findings, and clues to prognosis. advised readings also are incorporated. This variation covers extra systems and contains additional information on drug/contrast media interactions.

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Neurologic injury occurs in two thirds of burst fractures and three fourths of fracture-dislocations. Magnetic resonance imaging (MRI) is the best method for evaluation of cord injury, ideally performed within 24–48 hours of injury. Cord edema has a relatively good prognosis and demonstrates normal T1 signal and increased T2 signal. Cord hemorrhage has a poor prognosis and demonstrates abnormal signal of both T1 and T2 weighted images. Kummell’s disease is delayed posttraumatic vertebral body collapse.

Unstable because of disruption of the posterior and middle columns. Fracture-Dislocation Frequency. Mechanism. Sixteen percent of spinal fractures, neurologic deficit in 75%. Flexion, axial compression, and shear stress. Possible Findings ■ ■ Anterior displacement of spine above level of injury with variable degree of anterior wedging below. Posterior column injuries include tears of interspinous ligaments, disruption of facet joints, fractures of laminae and facets, and perched or locked facets.

Obtaining the head CT should not delay the LP and initiation of antibiotic therapy. CSF is sent for protein and glucose concentrations, cell count, Gram stain, and culture. CSF findings in different types of infection are given in Table 8-1. Possible Findings (Fig. 8-1) ■ ■ ■ ■ ■ Normal imaging is the most common finding in early meningitis. Enhancement of the leptomeninges is better seen on magnetic resonance (MR) than on CT. Enlargement of CSF spaces, particularly in the basal cisterns and interhemispheric fissure.

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