Discover and read the best of Twitter Threads about #ReadingRoom
Most recents (6)
1/ Welcome back to #ReadingRoom with Core IM!
Have you ever been confused about what contrast #protocol to order?! đź’
“Protocols” = which phase of contrast is best evaluate the structure you are trying to see 🔎
Keep an eye on the white contrast being injected in this 🧵
Have you ever been confused about what contrast #protocol to order?! đź’
“Protocols” = which phase of contrast is best evaluate the structure you are trying to see 🔎
Keep an eye on the white contrast being injected in this 🧵
2/ What are some different contrast protocols?
Compare and contrast the different protocols below ⬇️ and think about which clinical situations we use them in
Compare and contrast the different protocols below ⬇️ and think about which clinical situations we use them in
3/ Use this table to order the right study for the *right* pathology. There are many protocols with timings and combinations to best evaluate specific pathologies.
& don’t forget to check in with your radiology team when stuck and making a decision about which study to order!
& don’t forget to check in with your radiology team when stuck and making a decision about which study to order!
1/ Good morning, #medtwitter, and happy Thursday! We’re excited to bring you our latest edition of #ReadingRoom. Dim the lights, and get ready to clinically correlate!
You’ve got two abdominal plain films below. Which one is from a patient with a SBO?
You’ve got two abdominal plain films below. Which one is from a patient with a SBO?
2/ Let’s take a closer look, starting with the image on the right: here, there’s no abnormal dilation and the distribution of gas is normal. This is a normal abdominal film.
3/ On the other hand, here we see an abnormally dilated small bowel with predominant small bowel gas while there is no rectal gas and scant colonic gas. This is concerning for a SBO.
1/ Good morning, #MedTwitter, and happy Tuesday! We’re excited to bring you our latest installment of #ReadingRoom today. Dim the lights; it’s time to clinically correlate!
What object is labeled in the CXR below? What is it used for?
What object is labeled in the CXR below? What is it used for?
2/ That, friends, is our dear friend: the NG tube. It is our portal for tube feeds and PO meds (technically Per Nasus?), or if you put the thing down flip it and reverse it you can use the NGT to decompress the stomach.
3/ Next question: should you place that order that says “OK to use NG tube”?
The graphic below shows a systematic approach to ensure correct placement. This one is good to go!
The graphic below shows a systematic approach to ensure correct placement. This one is good to go!
1/ Happy Tuesday, #medtwitter! It’s time to take that walk down the hall to radiology for another round of #readingroom - let’s go!
2/ Looking at the previous tweet, where is the abnormal air located?
3/ If you said mediastinum, you’re right! This is also well characterized on chest CT pictured below.
Next question: how on earth did air get into the mediastinum? Reply with your thoughts, differentials and/or schema!
Next question: how on earth did air get into the mediastinum? Reply with your thoughts, differentials and/or schema!
1/ Good morning, #medtwitter, and welcome to another round of #readingroom #covid4MDs edition!
You should have a system for reading CXRs, and you need to approach each image systematically. Apply that system now and tell us: what do you see? Could this be #covid19?
You should have a system for reading CXRs, and you need to approach each image systematically. Apply that system now and tell us: what do you see? Could this be #covid19?
2/ In short, yes, this could be COVID-19, and in this case it was. But it could’ve been something else. Or it could’ve been a normal CXR and they still might’ve had COVID-19.
Moving on, do you know what the current ACR recommendations are for imaging in suspected COVID cases?
Moving on, do you know what the current ACR recommendations are for imaging in suspected COVID cases?
3/ Each patient who goes to CT is followed up by a thorough scrubbing of the scanning room - a process that takes up valuable time and delays necessary scans. Only COVID patients with strong indications for CT should be sent to the scanner.
Wish you’d paid more attention to your #radiology lectures in med school? Don’t worry, we’ve got you, #medtwitter. Announcing #readingroom, a new feature where we break down common rads findings into learning bites.
Let’s start with a good ol’ CXR: what’s your read?
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Let’s start with a good ol’ CXR: what’s your read?
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It’s a hemithorax opacification! Now let’s level up and ask what your ddx is for such a finding.
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Pleural effusion and atelectasis are most likely. What else is on your ddx, though - and what other CXR findings help you tier your ddx?
Moving on to a CT ... what’s that purple arrow pointing to?
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Moving on to a CT ... what’s that purple arrow pointing to?
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