Dr. Ian Ross Radiology On-Call. -12,000 cases / yr - CT >> US > MR - Clarify request - appropriateness - assess urgency (triage) - choose correct scan.

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Presentation transcript:

Dr. Ian Ross Radiology On-Call

-12,000 cases / yr - CT >> US > MR - Clarify request - appropriateness - assess urgency (triage) - choose correct scan protocol (78 protocols) 1) Logistics Radiology On-Call

2) I.V. Contrast What?  Why? Benefits / Risks Radiology On-Call

2) I.V. Contrast What? Why?  Benefits / Risks Radiology On-Call

2) I.V. Contrast What? Why? Benefits / Risks  Diagnosis

Radiology On-Call 2) I.V. Contrast Risks Nephropathy – creatinine Reactions – rare !

Anaphylactoid Mild – hives Moderate Severe Other Direct toxicity – CNS, CVS (rare !) 2) I.V. Contrast – Reactions Radiology On-Call

Anaphylactoid Mild – hives Moderate Severe Other Direct toxicity – CNS, CVS (rare !) 2) I.V. Contrast – Reactions Radiology On-Call

Anaphylactoid Mild – hives Moderate Severe Other Direct toxicity – CNS, CVS (rare !) 2) I.V. Contrast – Reactions Radiology On-Call

Anaphylactoid Mild – hives Moderate Severe Other Direct toxicity – CNS, CVS (rare !) 2) I.V. Contrast – Reactions Radiology On-Call

Anaphylactoid Mild – hives Moderate Severe Other Direct toxicity – CNS, CVS (rare !) 2) I.V. Contrast – Reactions Radiology On-Call

Need 2 health care humans present CT Tech + 1 of: other Xray tech nurse MD 2) I.V. Contrast – CT Scan Radiology On-Call

1 in ) CT Radiation Dose Risks -Low but real -Lifetime cancer risk for a CT Abd / pelvis Radiology On-Call

1. Residents busy but helpful 2. IV contrast 3. Radiation dose – thought-provoking