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.

Clinical Update

Clinicals are going very well this semester. It seems like the semester has been moving pretty fast. I thought this was a good image of a intraventricular hemorrhage post surgery. This patient was a male only 39 years old.

Impression:
Good Decompression of the ventricles which are significantly reduced in size.
No significant change in the ventricular hemorrhage with a probable parechymal component in the right posterior parietal region.

CLINICALS WEEK 1 & 2

Hope everyone semester is off to a great start. These first few weeks have been very busy. Our new EPIC semester has been a lot better than it was. The hardest part is getting the doctors to understand what orders are correct. We have came across a lot of orders being entered wrong, which then takes time calling to verify the correct order. Hoping to come across something that will be good to share in my weblog. Hope everyone is doing great.

Introduction for RADT 416

Hello to all!! My name is Kimberly Duncan. I live in Henderson, KY and work weekend option at Deaconess Gateway Hospital. I am married and have two young boys. I am excited about taking the CT?MRI courses to work towards my bachelors degree. I help in CT on the weekends and at my old job did CT for three years.

Hope everyone has a GREAT semester!!!

#6 Clinical Experience

Well, clinicals have been great this semester. It has been a great feeling scanning in Ct again. I hope everyone has enjoyed this semester and experienced many great opportunities. Our hospital had many changes switching to a electronic medical records system, but for the most part the glitches have been resolved. I'm sure with winter well on its way we will have a lot of scans due to falls. Hope everyone has learned and enjoyed this semester, and has a wonderful time over the holidays.

Clinical Experience Week #5

Hello!! Hope everyones clinicals are going well. It has been hectic the last few weeks at the hospital. We launched our new electronic medical record system. Pretty interesting. We all had to go thru several training classes, but to say the least the first day was not very fun. Day by Day there were a lot of corrections made, so now it is a lot easier to use.

Interesting case:

Thirty nine year old male presented to the ER with right flank pain, nausea, and vomiting. This patient had no prior medical history.

The ER doctor ordered Ct abd/Plv with and without contrast.

We used 100 ml Omnipaque 350 and did sagittal and coronal two-dimensional images.

Impression on report:

An 11 centimeter mass involving the upper pole of the right kidney, highly suggestive of renal cell carcinoma.

Mild hydronephrosis without obvious cause. A small amount of heterogenous density with the distal right ureter could conceivably represent hemorrhage.

Tiny indeterminate right middle lobe nodule

A few borderline enlarged retroperitoneal lymph nodes.