Emergency Radiology: Case Studies / Edition 1

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Effectively and confidently interpret even the most challenging radiographic study Emergency Radiology: Case Studies is a one-of-a-kind text specifically designed to help you fine-tune your emergency radiographic interpretation and problem-solving abilities. Illustrated with hundreds of high-resolution images, this reference covers the full range of clinical problems in which radiographic studies play a key role. Dr. David Schwartz, leading educator and expert author of Emergency Radiology, takes you step-by-step through the radiographic analysis of medical, surgical, and traumatic disorders, giving you an unparalleled review of the use and interpretation of radiographic studies in emergency diagnosis. Features
• 55 cases studies that highlight challenging areas in emergency diagnosis, including imaging studies with subtle, equivocal, or potentially misleading findings
• Detailed coverage of the broadband spectrum of disorders for which radiographs are utilized in emergency practice
• Coverage of chest and abdominal radiology, the extremities, cervical spine and facial radiology, and head CT
• Cohesive template for each chapter, beginning with case presentations, followed by discussion of the disorder
• Sections that begin with an overview of the pertinent radiographic technique, anatomy, and a method of radiographic interpretation
• Diagnosis-accelerating radiographs, ultrasound images, CT scans, and MR images
• Invaluable "pearls and pitfalls" of radiographic interpretation

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Editorial Reviews

Doody's Review Service
Reviewer: Melinda A Graber, BA, MD (University of Chicago Pritzker School of Medicine)
Description: This is a comprehensive review of the radiographic studies most used in emergency medicine. Clinical case studies are presented throughout the book to help elucidate teaching points, focusing on easily missed disorders and diagnostic dilemmas.
Purpose: The purpose is to help improve the reader's skills in ordering and interpreting radiographs. The focus is on conventional radiographs, as well as noncontrast head CT. For emergency physicians this is a vital skill, which can greatly aid in making difficult diagnoses. The book is well written and thorough in addressing how to read radiographs, as well as covering easy to miss findings. The numerous pictures and radiographs are invaluable in demonstrating the author's teaching points and in engaging the reader in the clinical cases.
Audience: The author addresses this book to practicing emergency physicians. It is written at a level that would be most useful to emergency medicine residents or practitioners hoping to brush up on their skills. Medical students planning on specializing in emergency medicine would also benefit from this case-based review, as it is written thoroughly and clearly enough to address readers with a broad range of background knowledge. The author is an associate professor of emergency medicine at Bellevue/NYU and a widely known author in the field of emergency radiology.
Features: Each chapter covers when to order a particular film and the various views that are taken. The author addresses how to read each film, how to judge adequacy of film technique, and normal radiographic anatomy. He shows various abnormal films with key points addressing clinical significance of the findings. Interesting cases and radiographs are presented with multiple associated diagnoses. The author also makes a point to define commonly used terminology, and how to use these terms correctly. The best part of the book is the inclusion of numerous radiographs which are often correlated with drawn pictures helping to illustrate the key points. The clinical cases are interesting and consistently offer invaluable clinical pearls. They are well written and keep the book interesting.
Assessment: This well written book will be extremely useful for practicing emergency physicians. The clinical cases are interesting and help challenge the reader to improve their skills at evaluating radiographs more thoroughly.
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Product Details

  • ISBN-13: 9780071409179
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 11/4/2007
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 568
  • Sales rank: 611,918
  • Product dimensions: 8.80 (w) x 11.20 (h) x 1.09 (d)

Meet the Author

David T. Schwartz, MD, FACEP, Associate Professor of Clinical Emergency Medicine, Bellevue Hospital and New York University Medical Center, New York, New York

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Table of Contents

Contents by diagnosis
SECTION I—Chest Radiology
1. Cough and fever in an elderly man
2. Cough and fever in an young man
3. Non-productive cough, fever and myalgia in a young man
4. Shortness of breath in a young woman
5. Back pain in a middle-aged man
6. Cough and fever in a young man
7. Cough producing blood-tinged sputum in a young man with a history of alcoholism
8. Weakness and nausea in a women with a history of breast cancer
9. Chest pain of sudden onset in a young man
10. Chest pain in a young man after receiving a blow to the chest
11. A pedestrian struck by a motor vehicle
12. Abdominal pain in a middle-aged man
13. Chest pain and dyspnea in an elderly woman with COPD
14. Partial opacification of the thorax in two patients
Section II—Abdominal Radiology
1. Periumbilical and left lower quadrant abdominal pain in a middle-aged man
2. Severe respiratory distress in an elderly man
3. Abdominal pain and vomiting in a middle-aged man with history of alcoholism
4. A 2-year-old girl with intermittent abdominal pain and vomiting
5. Right upper quadrant pain in an elderly man with diabetes
6. Abdominal pain and vomiting in an elderly woman with diabetes
7. Weakness and jaundice in a middle-aged woman
8. Abdominal discomfort in a middle-aged man with renal failure
Section III—Skeletal Radiology: The Extremities—Upper Extremity
1. Elbow and forearm injuries in a young man hit with a nightstick
2. An elbow injury in a 7-year-old girl who fell onto her outstretched hand
3. Wrist pain after minor trauma in a young man
4. Six patients with wrist injuries and "negative" radiographs
5. A wrist injury in an elderly woman who fell onto her outstretched arm
6. A shoulder injury in a young man who fell onto his outstretched arm
7. A shoulder injury in an elderly woman who fell
8. Shoulder pain in an elderly woman that radiated down her arm
Section IV—Lower Extremity
1. An ankle injury in a middle-aged woman
2. An ankle sprain in a young man sustained while playing softball
3. Knee pain in two patients following minor trauma
4. Hip injuries in elderly women who fell from standing
5. Pelvic pain in a young man who fell from a scaffolding
6. Pelvic pain in a young woman following a motor vehicle collision
7. A puncture wound to the foot of a young woman
Section V—Cervical Spine Injuries
1. Neck pain in a middle-aged man struck by a slow-moving motor vehicle
2. A neck injury sustained in a high-speed motor vehicle collision
3. A neck injury sustained in a high-speed motor vehicle collision
4. A neck injury in a young man who fell off of a subway platform onto his head
5. Neck pain in a middle-aged man involved in a slow-moving motor vehicle collision
6. Neck pain in a middle-aged man who fell backwards off a ladder the day before coming to the ED
Section VI—Head CT
1. Head injury in an elderly man found on the ground outside a bar; head CT was "normal"
2. Head injury in a young man who was struck with a bat
3. How to read a head CT in a patient with head trauma
4. Occipital headache and vomiting in a middle-aged woman; head CT was "normal"
5. Persistent headache for five days in a young man
6. How to read a head CT in a patient with headache
7. Lethargy and fever in an elderly man; head CT was performed prior to LP
8. Headache, unilateral hearing loss and blurred vision in a young woman
9. Abrupt onset of hemiparesis in an elderly man
10. Left-sided weakness that began six days earlier in an elderly woman
11. Right hemiparesis that began 20 minutes before ED arrival in an elderly woman
Section VII—Facial Trauma
1. Two patients with black eyes after being punched in the face
2. A nasal laceration in an elderly man that occurred when the taxi-cab in which he was riding stopped short
IndexCONTENTS BY DIAGNOSISSection I—Introduction to Chest Radiology
1. Typical lobar pneumonia—How to read a chest radiograph
2. Subtle pneumonia—Silhouette signs
3. Hidden pneumonia and pneumonia mimics
4. Pulmonary embolism
5. Lobar atelectasis—Spinal cord compression
6. Hilar adenopathy
7. Congestive heart failure—Interstitial lung markings
8. Cardiac tamponade
9. Pneumothorax
10. Pneumomediastinum
11. Traumatic aortic injury
12. Aortic dissection
13. Thoracic aortic aneurysm
14. White-out of thorax—Atelectasis and pleural fibrosis
Section II—Introduction to Abdominal Radiology
1. Small bowel obstruction
2. Large bowel obstruction, volvulus, ileus, megacolon
3. Pneumoperitoneum
4. Intussusception (pediatric)
5. Cholecystitis—Ultrasonography
6. Gallstone ileus
7. Jaundice—Splenomegaly
8. Radiopaque masses
Section III—Introduction to Skeletal Radiology—Upper Extremity
1. Elbow fat pad—Monteggia fracture
2. Elbow injuries in children
3. Perilunate injuries
4. Subtle wrist injuries
5. Distal radius fractures—Galeazzi fracture
6. Posterior shoulder dislocation
7. Anterior shoulder dislocation and fracture
8. Nontraumatic shoulder pain
Section IV—Lower Extremity
1. Ankle fractures
2. Maisonneuve fracture—The mortise view
3. Knee fractures—Tibial plateau fractures
4. Hip fractures—Occult hip fracture
5. Acetabulum fractures
6. Pelvic ring fractures
7. Radiolucent foreign bodies
Section V—Introduction to Cervical Spine Radiology
1. Type II odontoid fracture—Prevertebral soft tissue
2. Type III odontoid fracture—The "ring of C2"
3. Hangman's fracture of C2—Posterior cervical line
4. Jefferson burst fracture of C1—Predental space
5. Unilateral facet dislocation
6. Hyperflexion sprain—Flexion/extension views
Degenerative changes—Cervical spine imaging strategy
Section VI—Introduction to Head CT
1. Subdural hematoma—CT windows
2. Basilar skull fracture, pneumocephalus
3. How to read a head CT in a patient with head trauma
4. Subarachnoid hemorrhage
5. Cerebral venous sinous thrombosis
6. How to read a CT in a patient with headache
7. Hydrocephalus—Use of CT before LP
8. Acoustic neuroma—Use of intravenous contrast
9. Stroke—Cytotoxic edema
10. Peritumoral (vasogenic) edema
11. Advances in stroke imaging—Perfusion CT and MRI, the ischemic penumbra
Section VII—Introduction to Facial Radiology
1. Facial fractures: Tripod and blow-out fractures
2. Le Fort fractures

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