Difference between revisions of "Template:Muscular hematoma - choice of modality"
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*'''[[Ultrasonography of muscular hematoma]]''' is generally the initial choice in younger patients to confirm a strongly suspected hematoma. | *'''[[Ultrasonography of muscular hematoma]]''' is generally the initial choice in younger patients to confirm a strongly suspected hematoma. | ||
*'''[[CT of muscular hematoma]]''' is generally the initial choice in acute [[abdominal pain]]. For follow-up of a known muscular hematoma, it is sufficient to perform CT without [[Contrast CT|IV contrast]].<ref group=notes>A [[contrast CT]] can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas:<br>- {{cite journal|last1=Landecy|first1=Marie|last2=Paquette|first2=Brice|last3=Revel|first3=Lucie|last4=Behr|first4=Julien|last5=Badet|first5=Nicolas|last6=Delabrousse|first6=Eric|title=Does IV contrast extravasation on CT in anticoagulant-related rectus sheath and iliopsoas hematoma predict hematoma expansion and patient outcomes?|journal=Abdominal Radiology|volume=41|issue=11|year=2016|pages=2241–2247|issn=2366-004X|doi=10.1007/s00261-016-0818-4}}</ref> | *'''[[CT of muscular hematoma]]''' is generally the initial choice in acute [[abdominal pain]]. For follow-up of a known muscular hematoma, it is sufficient to perform CT without [[Contrast CT|IV contrast]].<ref group=notes>A [[contrast CT]] can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas:<br>- {{cite journal|last1=Landecy|first1=Marie|last2=Paquette|first2=Brice|last3=Revel|first3=Lucie|last4=Behr|first4=Julien|last5=Badet|first5=Nicolas|last6=Delabrousse|first6=Eric|title=Does IV contrast extravasation on CT in anticoagulant-related rectus sheath and iliopsoas hematoma predict hematoma expansion and patient outcomes?|journal=Abdominal Radiology|volume=41|issue=11|year=2016|pages=2241–2247|issn=2366-004X|doi=10.1007/s00261-016-0818-4}}</ref> | ||
| − | *In suspected bone fracture, '''[[X-ray of fractures]]''' is generally the initial choice. | + | *In suspected bone fracture, '''[[X-ray of fractures]]''' is generally the initial choice.<noinclude>{{Booom}}</noinclude> |
Revision as of 14:07, 14 March 2019
Choice of modality
- Ultrasonography of muscular hematoma is generally the initial choice in younger patients to confirm a strongly suspected hematoma.
- CT of muscular hematoma is generally the initial choice in acute abdominal pain. For follow-up of a known muscular hematoma, it is sufficient to perform CT without IV contrast.[notes 1]
- In suspected bone fracture, X-ray of fractures is generally the initial choice.Template:Booom
Cite error: <ref> tags exist for a group named "notes", but no corresponding <references group="notes"/> tag was found, or a closing </ref> is missing