Difference between revisions of "Template:Muscular hematoma - choice of modality"

Latest revision as of 14:28, 14 March 2019

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.
In suspected bone fracture, X-ray of fractures is generally the initial choice.

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 ===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 [[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]].
-*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>
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