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Old 11-10-2012
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GIT acute diverticulitis CT scan

what will be ans here frnz ? CT with contrast or CT without contrast...any reason fro same ?
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Old 11-10-2012
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Neither MTB nor Kaplan Lecture notes specify this, I found Medscape that you can use CT scan with colonic contrast (which is not as dangerous as an enema), SO i really dont know, it would be mean if they put in the answer choices both CT scan without contrast and CT Scan with contrast
http://emedicine.medscape.com/articl...8-workup#a0720
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Old 11-10-2012
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Quote:
Originally Posted by XpaezX View Post
Neither MTB nor Kaplan Lecture notes specify this, I found Medscape that you can use CT scan with colonic contrast (which is not as dangerous as an enema), SO i really dont know, it would be mean if they put in the answer choices both CT scan without contrast and CT Scan with contrast
http://emedicine.medscape.com/articl...8-workup#a0720
in general, as a rule of thumb, git ct gets contrast. i dont know here. i guess it will be contrast:sorry:
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Old 11-10-2012
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Originally Posted by tyagee View Post
in general, as a rule of thumb, git ct gets contrast. i dont know here. i guess it will be contrast:sorry:
Yup, If medscape says a lot of physicians do that then it is ok, I mean unless the patient is so unstable that it is impossible to put any contrast (in that case I would go straight to surgery) then I think a little bit of contrast is ok
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CT abdomen and pelvis with contrast (I/V +/_ Oral and/or colonic contrast may be helpful for bowel luminal visualization).

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CT scan of the abdomen is considered the best imaging method to confirm the diagnosis. The American College of Radiology (ACR) 2011 Appropriateness Criteria for left lower quadrant pain support this recommendation because of the specificity and sensitivity of CT scans, which allow for the diagnosis of causes of left lower quadrant pain that resembles diverticulitis.[1]
  • CT scans are preferred over intraluminal examinations (eg, barium enema), since the bulk of inflammation is extraluminal. CT scans can help assess disease severity, the presence of complications, and clinical staging. In the acute setting, CT scans are safer than contrast studies. Sensitivity and specificity, especially with helical CT and colonic contrast, can be as high as 97%.
  • Possible CT findings include the following: pericolic fat stranding due to inflammation, colonic diverticula, bowel wall thickening, soft tissue inflammatory masses, phlegmon, and abscesses. Peritonitis, fistula formation, and obstruction can also be assessed. It can be used to guide percutaneous drainage of an abscess.
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