Thursday, March 18, 2010

Clinical Update #4


This patient was a female status post hysterectomy with pelvic pain and drainage around drain tube. Ordered ta ct pelvis wo contrast to check position of tube and any additional abscess.
Report:
Surgical drain is seen in good position within the abscess cavity. The abscess has markedly decreased in size with some residual phlegmonous-type change and minimal fluid with gas seen just caudal to the catheter. There are no new abnormalities demonstrated.
Summary:
Catheter remains in good position. There is some minimal remaining gas and fluid along the caudal aspect of the abscess cavity, suggest the drainage tube be maintained for a few more days. The patient was instructed to continue with flushing in order to maintain tue patency and hopefully increase drainage.

CLINICAL UPDATE # 3



ABDOMEN AND PELVIS WO CONTRAST KIDNEY STONE PROTOCOL
This patient came in the ER complaining of left flank pain.
Findings: Right kidney shows marked hydronephrosis along with marked diffuse hydroureter to the level of UV junction without a calculus or obvious etiology.
On left, no hydronephrosis or calculus is seen.
Right kidney is enlarged secondary to hydronephrosis measuring 12.4 cm in length, compared to 10.7 cm length of left kidney.