An Analysis of One Thousand Chest Radiographs at a Secondary Care Center
|
|
- Michael Sullivan
- 7 years ago
- Views:
Transcription
1 Original Article 1 An Analysis of One Thousand Chest Radiographs at a Secondary Care Center Abdus Salam,* Ghulam Sabir Iqbal,** Muhammad Usman Ahmed*** From *Department of Radiology, POF Hospital, and **Departments of Surgery and ***Otolaryngology, Wah Medical College Wah Cantt Correspondence: Lt Col Abdus Salam, Classified Radiologist, Department of Radiology, POF Hospital Wah Cantt. Received: August 17, 2007 Accepted: May 24, 2008 ABSTRACT Objective: To find the workload of radiology department consisting of chest x-ray, clinical notes writing trends, and, percentage of radiographs showing abnormalities, Material and Methods: One Thousand Chest X-Rays were studied at the department of radiology, CMH Murree from April 2002 to August Results: Chest x-ray made up 28% of the workload. Three major symptoms of patients were cough (7%), Fever (6%) and chest pain (5%). Only 9.2% films had significant findings. Pulmonary Tuberculosis (2.1%) cardiomegaly (2.1%) consolidation (1.4%) and pleural effusion (.8%) were the major radiological findings. Conclusion: X-ray chest constitutes the major bulk of radiographic workload at our institution and Tuberculosis was the commonest radiological finding. (Rawal Med J 2008;33: ). Key Words: Chest X-ray, clinical information, radiation protection, tuberculosis. INTRODUCTION The plain chest film is the most frequently requested radiological examination. 1 It accounts for 5% of all radiological examinations in UK. 2 In USA, 1.4 Billion dollars are spent on chest x-ray every year. 3 Chest x-ray remain an important tool in depicting diseases of lungs using PA view, AP, lateral supine and occasionally apical views. 4 From radiation hazard point of view effective dose equivalent of chest x-ray is very safe (0.02 milli Sievert). It is equal to 3 days natural back ground radiations. Except hand or foot all other x-rays impart far greater effective radiation dose than chest x-ray. 5 This study was designed to find out the workload of radiology department made by chest x-ray, clinical notes writing trends of referring physicians, awareness of radiation protection procedures, percentage of radiographs showing abnormalities, wet film load, and
2 2 percentage of indoor/outdoor patients advised chest x-ray in a secondary care center. The result of the study will help the policy makers in developing regulatory and practice guidelines for judicial use of x-ray chest to make it cost effective. PATIENTS AND METHODS One Thousand Chest X-Rays were studied at the department of radiology CMH Murree. The study was started on First April 2002 and ended on 14 th August Patient of all ages and gender were included, both indoor and outdoor. For x-rays, 300 mas general purpose x-ray machine was used with ward radiography by 20 mas mobile x-ray unit. Manual developing was done in all the cases. Age, gender and clinical information provided on the request form were noted. A record of radiographic views advised and referring OPD / Ward was kept. All the films were examined to determine the repeat film rate and radiological findings. RESULTS Out of patients attended in OPDs only 5% were advised chest x-ray. The ratio was much higher (20%) in case of indoor patients i.e. 276 out of 1400 inpatients were advised chest x-ray. Total radiological investigations during the study were 3550 and chest x-ray made up 28% of the workload. Age of patients ranged from new born to 105 years with marked male preponderance. (M:F 6.7:1). Clinical information was provided in 50% of the cases (Table 1). Three major symptoms of patients were cough (7%), fever (6%) and chest pain (5%).
3 3 Table 1. Symptoms provided on requests of study subjects. Clinical Information available 502 No Clinical Information available 498 Cough 70 Fever 60 Chest Pain 52 Pre-employment 32- All Normal Annual medical check up/deputation 08 All Normal GA Fitness 10 All Normal In 97.8% of cases PA view was advised (Table 2). Repeat film rate was 0.6%. Majority (75.1%) of the chest x-rays were normal (Table3). All the cases of pre-employment/annual medical checkup and GA fitness were normal. Fifteen percent x-rays were taken away by the patients without report as wet film. Only 9.2% x-rays had significant findings. Pulmonary Tuberculosis (2.1%) Cardiomegaly (2.1%) consolidation (1.4%) and pleural effusion (.8%) were the major abnormal radiological findings. Out of 130 female patients only one was advised to be x-rayed with abdominal shield. DISCUSSION A trained radiologist may overlook 20-30% of significant abnormality on a chest film 1 and pickup rate is improved by providing clinical information on request form. The radiologist must develop a routine, which ensures that all areas of the radiographs are scrutinized. This study has disproved the assumption that 100% admitted patients and every second patient reporting in OPD is sent for x-ray. In our study, most of these patients were having cough, fever or chest pain.
4 4 Table 2. Radiographic views advised for the study subjects. PA View 977 Portable 12 Supine 07 Lateral 01 Abdomen Shield for Pregnancy 01 AP for ribs 01 PA for ribs 01 Total 1000 In this study, 12 patients needed ward radiography. Usually the junior most inexperienced technician is sent for this. To get good quality x-ray the most experienced radiographer should be earmarked for ward radiography. Fifteen percent x-rays were taken away without report. These wet films are usually seen in emergency room under suboptimal viewing conditions. Homogeneous light of proper brightness and color with dim room lights improve pickup rate. 6 Repeat rate should not exceed 2 %. 7 In our study, it was 0.6% which is ideal. Table 3. Radiological findings in study subjects.
5 5 Normal X-ray 759 Wet films 149 Cardiomegaly 21 Tuberculosis 21 Pneumonia 14 Pleural Effusion 08 Cervical Ribs 04 Rib anomalies 04 Goitre 04 Bronchiectasis 02 Chiladitis Syndrome 02 CABG 02 Kartagener Syndrome 01 Transposition of Great Arteries 01 Tracheostomy 01 Mediastinal widening 01 Diaphragm hump 01 Pulmonary Edema 01 T-10 Hemivertebra 01 Lung Abscess 01 Miliary Tuberculosis 01 Pneumonothorax 01 Total Abnormal radiographs 92 In this study, 75% radiographs were normal. Pre employment medical, annual medical and GA fitness cases had 100% normal radiographs. These results are in conformity with earlier studies done in Saudi Arabia, UK and USA which showed that there was no rationale for routine chest radiograph in apparently healthy individuals. 3 Hospital staff in regular contact with patients with tuberculosis (TB) or who handle tuberculous material is at high risk. 8 It is advisable to perform chest radiography annually for staff at high risk in hospital laboratories. For those working in normal risk area, periodic chest radiography is unnecessary. 9 Hospitals should evolve guidlines in this regard and in UK, such guidelines have reduced chest x-ray referrals to 30%. 3
6 6 Plain chest film has its own limitations. Small pulmonary emboli without infarction, bronchiectasis and obstructive airway disease may be associated with normal chest film. Similarly, miliary shadows, small metastases and early interstitial disease may fail to appear as visible abnormality on a plain film. 1 Tuberculosis continues to be a common health problem in underdeveloped and developing countries. 10,11 Pakistan is included in the 16 countries where lack of progress is threatening global TB control efforts. 12 The diagnosis of TB is based on clinical presentation, radiological and laboratory findings. 13,14 In this study, there were 21 cases of Pulmonary TB, 8 cases of pleural effusion and one case of miliary T.B. Only one out of 130 females was advised abdominal shield reflecting low level of radiation hazards awareness. Ideally, the referring physician should check the menstrual history and withhold x-ray examination request if there is any question about the necessity of the examination. 7 In conclusion, x-ray chest constituted bulk of radiographic workload.and TB was the commonest radiological finding. Optimum usefulness of radiographs increases when hospital investigation protocol is followed and clinical information are provided. Enforcement of radiation protection procedures is vital especially in women of reproductive age group. REFERENCES 1. Sutton D. A textbook of Radiology and Imaging. 5 th ed. Edinburg: Churchill livingstone; ,315, Royal College of Radiologist Working Party. A multicentre audit of hospital referral for radiological investigation in England and Wales. BMJ 1991;303: Al-Damegh S, Ghani HA, EI-Khwsky F, Kalantan K, Al-Taweel A. Evaluation of pre-entrance chest radiography in students and employees of a Saudi University. JCPSP 2002;12:
7 7 4. Bryan GJ. Diagnostic Radiography. 3 rd ed. Edinburg. Churchill livingstone; , Chapman S, Nakiely R. A guide to Radiological Procedures. 3 rd ed.london. Bailliere Tindall; Swallow RA. Clark s Positioning in Radiography. 11 th ed.london. William Heinmann Medical Books Ltd; pp17, ,336, Buchong SC. Radiologic Science for Technologist. 5 th ed. St. Louis. Mosby. Year Book, Inc; John HH, Leitch AG, McNicol MW, Skinner C. Control and prevention of tuberculosis in Britain: an update code of practice, BMJ 1990; 300: Gatley MS. Tuberculosis in Britain (correspondence). BMJ 1990; 300: Khan D. Radiological evaluation of ileocecal tuberculosis. JCPS 1999;9: Almani SA, Memon NM, Qureshi AF. Drug-resistant tuberculosis in Sind. JCPSP 2000;12: Khadim MK, Sarfraz J, Masud TI. Factors affecting tuberculosis control: decisionmaking at the household level. JCPSP 2003;13: Sohail S. Socio-economic and diagnostic aspects of tuberculosis in Pakistan. JCPSP 2003;13: Butt T, Ahmed RN, Kazmi SY, Afzal RK, Mehmood A. An update on the diagnosis of tuberculosis. JCPSP 2003;13:
8 8
9 9
X-ray (Radiography), Chest
X-ray (Radiography), Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray makes images of the heart, lungs, airways,
More informationX-ray (Radiography) - Chest
Scan for mobile link. X-ray (Radiography) - Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray produces images of
More informationCT scans and IV contrast (radiographic iodinated contrast) utilization in adults
CT scans and IV contrast (radiographic iodinated contrast) utilization in adults At United Radiology Group, a majority of CT exams are performed either with IV contrast or without while just a few exams
More informationTest Request Tip Sheet
With/Without Contrast CT, MRI Studies should NOT be ordered simultaneously as dual studies (i.e., with and without contrast). Radiation exposure is doubled and both views are rarely necessary. The study
More informationTuberculosis. Subject. Goal/Objective. Instructions. Rationale. Operations Directorate, Health Branch Immigration Medical Examination Instructions
Subject Instructions for the screening of clients to detect tuberculosis (TB) in the context of the Canadian immigration medical examination (IME). Goal/Objective These instructions are provided to ensure
More informationTRIAGE NURSE CHEST X-RAY ORDERING CEDARS SINAI MEDICAL CENTER
Publication Year: 2004 TRIAGE NURSE CHEST X-RAY ORDERING CEDARS SINAI MEDICAL CENTER Summary: Specially trained nurses assess whether a patient has a certain pulmonary condition and order chest x-rays
More informationSuspected pulmonary embolism (PE) in pregnant women
Suspected pulmonary embolism (PE) in pregnant women What is a pulmonary embolus? A deep vein thrombosis (DVT) is a blood clot that forms in one of the deep veins of the leg. If the clot moves to the lung,
More informationFrequently Asked Questions: The following regulations are provided to answer some of the many questions that are asked of this office.
Steven L. Beshear Governor CABINET FOR HEALTH AND FAMILY SERVICES DEPARTMENT FOR PUBLIC HEALTH Division of Public Health Protection and Safety Radiation Health Branch 275 East Main Street, HS 1C-A Frankfort,
More informationCoding and Compliance:
Coding and Compliance: Bettering The Bottom Line Richard Duszak, MD, FACR, FSIR, RCC CPT Advisor, American College of Radiology Chair, ACR Committee on Coding and Nomenclature Editor-in-Chief, Clinical
More informationIONISING RADIATION. X-rays: benefit and risk
IONISING RADIATION X-rays: benefit and risk Impress Federal Office for Radiation Protection Postfach 10 01 49 D - 38201 Salzgitter Telephone: + 49 (0) 30 18333-0 Fax: + 49 (0) 30 18333-1885 Website: www.bfs.de
More informationPregnancy and Tuberculosis. Information for clinicians
Pregnancy and Tuberculosis Information for clinicians When to suspect Tuberculosis (TB)? Who is at risk of TB during pregnancy? Recent research suggests that new mothers are at an increased risk of TB
More informationFirst floor, Main Hospital North Services provided 24/7 365 days per year
First floor, Main Hospital North Services provided 24/7 365 days per year General Radiology (X-ray) Fluoroscopy Ultrasound (Sonography) Nuclear Medicine P.E.T. imaging Computed Tomography (CT scan) Magnetic
More informationModule 5 Laboratory CONTENTS ILLUSTRATED GUIDES
Health Information System () Part Two: Technical Sections Module 5 Laboratory CONTENTS 5.1 What are the tools used for data collection?............................... 17 5.2 Who is responsible for collecting
More informationChest X-ray Certificate
OFFICE USE ONLY Client no.: Date received: / / Application no.: March 2015 INZ 1096 Chest X-ray Certificate Who should use this form? Applicants for entry to New Zealand are required to have an acceptable
More informationCLINICAL PROTOCOL FOR X-RAYS AND CLINICAL IMAGING
CLINICAL PROTOCOL FOR X-RAYS AND CLINICAL IMAGING RATIONALE The aim of this Protocol is to provide guidance and good practice recommendations for health care professionals involved in clinical imaging
More informationCystic Fibrosis. Cystic fibrosis affects various systems in children and young adults, including the following:
Cystic Fibrosis What is cystic fibrosis? Cystic fibrosis (CF) is an inherited disease characterized by an abnormality in the glands that produce sweat and mucus. It is chronic, progressive, and is usually
More informationDate: Referring Facility: Phone#: Anticipated Patient Needs (Please check appropriate boxes and include details within referral paperwork)
Barbara McInnis House Initial Referral Form Please fill form out completely. Include additional forms if prompted. Fax to Admissions Department. Follow up with a phone call. Patient Name: DOB: Gender:
More informationMesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1
Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this
More informationX-ray (Radiography) - Abdomen
Scan for mobile link. X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small dose of ionizing radiation to produce pictures of the inside of the abdominal cavity. It is used to evaluate the stomach,
More informationAdministrative. Patient name Date compare with previous Position markers R-L, upright, supine Technical quality
CHEST X-RAY Administrative Patient name Date compare with previous Position markers R-L, upright, supine Technical quality AP or PA ( with x-ray beam entering from back of patient, taken at 6 feet) Good
More informationHow To Become An Xray Technician
MICHIGAN CIVIL SERVICE COMMISSION JOB SPECIFICATION X-RAY TECHNICIAN JOB DESCRIPTION Employees in this job function as radiological technologists with responsibility for operating X-ray and fluoroscopic
More informationRadiologist Assistant Role Delineation
Radiologist Assistant Role Delineation January 2005 Background The American Registry of Radiologic Technologists (ARRT) is developing a certification program for a new level of imaging technologist called
More informationThe Radiologic Technology Program at Trenholm University
H. Councill Trenholm State Technical College 243 Location: Trenholm Campus Program Information The Radiology Technology program at TrenholmState will provide students with the necessary training to gain
More informationX-Rays Benefits and Risks. Techniques that use x-rays
X-Rays Benefits and Risks X-rays are a form of electromagnetic radiation, just like light waves and radiowaves. Because X-rays have higher energy than light waves, they can pass through the body. X-rays
More informationPRACTICAL TIPS IN ENSURING RADIATION SAFETY IN THE USE OF MEDICAL DIAGNOSTIC X-RAY EQUIPMENT
PRACTICAL TIPS IN ENSURING RADIATION SAFETY IN THE USE OF MEDICAL DIAGNOSTIC X-RAY EQUIPMENT Although the medical uses of X-rays to examine a patient without surgery became an amazing medical breakthrough,
More informationInformation for you Treatment of venous thrombosis in pregnancy and after birth. What are the symptoms of a DVT during pregnancy?
Information for you Treatment of venous thrombosis in pregnancy and after birth Published in September 2011 What is venous thrombosis? Thrombosis is a blood clot in a blood vessel (a vein or an artery).
More informationMesothelioma: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Mesothelioma: Questions
More informationCOMMUNICATING RADIATION RISKS IN PAEDIATRIC IMAGING
COMMUNICATING RADIATION RISKS IN PAEDIATRIC IMAGING Information to support healthcare discussions about benefit and risk Executive summary Executive summary Advances in technologies using ionizing radiation
More informationPATIENT INFORMATION SHEET Study name: CT morphology of lung parenchyma pre and post bariatric surgery: correlation with pulmonary function.
Version 2. 8.09.2011 Hammersmith Hospital Du Cane Rd London W12 0HS Tel: 020 8383 1000 www.imperial.nhs.uk PATIENT INFORMATION SHEET Study name: CT morphology of lung parenchyma pre and post bariatric
More informationAgency for Health Care Administration
Page 1 of 20 FED - H0000 - INITIAL COMMENTS Title INITIAL COMMENTS CFR Type Memo Tag FED - H0005 - COMPLIANCE WITH FED/STATE/LOCAL LAWS Title COMPLIANCE WITH FED/STATE/LOCAL LAWS CFR 486.100 Type Condition
More informationAbdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins.
Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. LMP of child-bearing age female patients should be checked. 1. Acute abdomen
More informationOfficial reprint from UpToDate www.uptodate.com 2013 UpToDate
Official reprint from UpToDate www.uptodate.com 2013 UpToDate Patient information: Breast cancer screening (The Basics) Written by the doctors and editors at UpToDate What is breast cancer screening? Breast
More informationMEDICAL REPORT MEDICAL HISTORY QUESTIONS
MEDICAL HISTORY QUESTIONS PAGE 1 OF 7 IF YOUR ANSWER IS YES TO ANY OF THE FOLLOWING QUESTIONS, PLEASE PROVIDE ADDITIONAL INFORMATION INCLUDING: DIAGNOSIS, DATE, AND TREATMENT (INCLUDING MEDICATIONS AND/OR
More informationMEDICARE RISK ADJUSTMENT A PROSPECTIVE APPROACH TO RISK ADJUSTMENT AND ACCURATE DOCUMENTATION AND CODING
MEDICARE RISK ADJUSTMENT A PROSPECTIVE APPROACH TO RISK ADJUSTMENT AND ACCURATE DOCUMENTATION AND CODING WHAT IS RISK ADJUSTMENT? Risk Adjustment ensures that accurate payments are made to Medicare Advantage
More informationRadiology Services Policies and Procedures
Radiology Services Policies and Procedures November 2011 Table of Contents - Alphabetical Please Note! Clicking on a title in the Table of Contents will take you to that document. To find a particular
More informationThe silhouette sign. Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP)
The silhouette sign Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP) The silhouette sign When 2 opacities of the same density
More informationPreoperative Laboratory and Diagnostic Studies
Preoperative Laboratory and Diagnostic Studies Preoperative Labratorey and Diagnostic Studies The concept of standardized testing in all presurgical patients regardless of age or medical condition is no
More informationStaff Doses & Practical Radiation Protection in DEXA
Patient Xray X Doses Staff Doses & Practical Radiation Protection in DEXA Una O ConnorO Dept. of Medical Physics & Bioengineering, St. James s s Hospital. Examination Types General XrayX Fluoroscopy /
More informationX-ray (Radiography), Lower GI Tract
Scan for mobile link. X-ray (Radiography), Lower GI Tract What is Lower GI Tract X-ray Radiography (Barium Enema)? Lower gastrointestinal (GI) tract radiography, also called a lower GI or barium enema,
More informationRequirements for Provision of Outreach Paediatric Cardiology Service
Requirements for Provision of Outreach Paediatric Cardiology Service Dr Shakeel A Qureshi, Consultant Paediatric Cardiologist, Evelina Children s Hospital, London, UK On behalf of British Congenital Cardiac
More informationCareer Counseling in Radiology. Frequently-Asked Questions
Career Counseling in Radiology Frequently-Asked Questions This booklet has been prepared by the Department of Radiology in response to questions frequently asked by medical students who wish to explore
More informationportable x-ray survey report
department of HealtH and Human services centers for medicare & medicaid services form approved omb no. 0938-0027 portable x-ray survey report provider number H1 date surveyed (1) initial (2) survey W H2
More informationRecurrent or Persistent Pneumonia
Recurrent or Persistent Pneumonia Lower Respiratory Tract Dr T Avenant Recurrent or Persistent Pneumonia Definitions Recurrent pneumonia more than two episodes of pneumonia in 18 months Persistent pneumonia
More informationLow-dose CT Imaging. Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital
Lung Cancer Screening with Low-dose CT Imaging Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital Despite recent declines in the incidence of lung cancer related to the
More informationDisease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung
More information33-10-06-03. General requirements. 1. Administrative Controls.
33-10-06-03. General requirements. 1. Administrative Controls. a. Registrant. The registrant shall be responsible for directing the operation of the x-ray systems which have been registered with the department.
More informationLung Cancer. Public Outcomes Report. Submitted by Omar A. Majid, MD
Public Outcomes Report Lung Cancer Submitted by Omar A. Majid, MD Lung cancer is the most common cancer-related cause of death among men and women. It has been estimated that there will be 226,1 new cases
More informationGREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER
GREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER Dear Parent, Verde Valley School is committed to providing your child with the best possible care. It is with this goal in mind that the school requires
More informationThe Field. Radiologic technologists take x-rays and administer nonradioactive materials into patients' bloodstreams for diagnostic purposes.
Radiologic Technologist Overview The Field - Specialty Areas - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Radiologic technologists
More informationSymptoms of Hodgkin lymphoma
Produced 28.02.2011 Revision due 28.02.2013 Symptoms of Hodgkin lymphoma Lymphoma is a cancer of cells called lymphocytes. These cells are part of our immune system, which helps us to fight off infections.
More informationTuberculosis Exposure Control Plan for Low Risk Dental Offices
Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.
More informationGeneral Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 150.3 Malignant neoplasm of upper third of esophagus C15.3 Malignant neoplasm of upper third of esophagus 150.4 Malignant neoplasm of middle
More informationSMALL CELL LUNG CANCER
Protocol for Planning and Treatment The process to be followed in the management of: SMALL CELL LUNG CANCER Patient information given at each stage following agreed information pathway 1. DIAGNOSIS New
More informationCorrespondence should be addressed to Rebecca Jeanmonod; rebeccajeanmonod@yahoo.com
Advances in Emergency Medicine, Article ID 241935, 5 pages http://dx.doi.org/10.1155/2014/241935 Research Article Validation of a Decision Rule and Derivation of a Modified Rule to Obtain Chest Radiograph
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationLimited Permit X-ray Technician Program
Limited Permit X-ray Technician Program Responsibilities of a Limited X-ray Technician Career Care Institute s Limited Permit X-ray Technician will prepare the graduate to take the California State Examination
More informationSUMMARY OF CURRENT UK LEGISLATION AND GUIDELINES
SUMMARY OF CURRENT UK LEGISLATION AND GUIDELINES Legislation There are two sets of regulations in the UK governing the use of ionizing radiation. They both form part of The Health and Safety at Work Act
More informationVideo Fluoroscopic Swallowing Exam (VFSE)
Scan for mobile link. Video Fluoroscopic Swallowing Exam (VFSE) A video fluoroscopic swallowing exam (VFSE) uses a form of real-time x-ray called fluoroscopy to evaluate a patient s ability to swallow
More informationChest Pain. Acute Myocardial Infarction: Differential Diagnosis and Patient Management. Common complaint in ED. Wide range of etiologies
Acute Myocardial Infarction: Differential Diagnosis and Patient Management Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Chest Pain
More informationSTUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology)
STUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology) plan number :15/11/97/NT I-GENERAL RULES AND CONDITIONS: 1- This plan conforms to the regulations of granting the
More informationPregnancy and Tuberculosis. Patient and Public information sheet
Pregnancy and Tuberculosis Patient and Public information sheet Who is at risk of TB? Anyone can catch TB, but it is possible that pregnant women have a slightly higher risk of TB. Some people are more
More informationGuidance for appointed doctors on the Control of Asbestos Regulations 2012
Guidance for appointed doctors on the Control of Asbestos Regulations 2012 Medical surveillance for workers carrying out licensed work with asbestos Introduction 1 This guidance tells appointed doctors
More informationLimited Permit X-ray Technician Program
Limited Permit X-ray Technician Program Responsibilities of a Limited X-ray Technician Due to the strong pay and solid job prospects, more and more people are becoming X-ray technicians. Additionally,
More informationRadiologic Technology Program. Radiation Safety and Protection Program
Radiologic Technology Program Radiation Safety and Protection Program Name of Program: Charles R. Drew University of Medicine and Science College of Science and Health CA RHB Program Number: 1029 Name
More informationDocumenting & Coding. Chronic Obstructive Pulmonary Disease (COPD) Presented by: David S. Brigner, MLA, CPC
Documenting & Coding Chronic Obstructive Pulmonary Disease (COPD) Presented by: David S. Brigner, MLA, CPC Sr. Provider Training & Development Consultant Professional Profile David Brigner currently performs
More informationRESIDENT MANUAL RADIOLOGY RESIDENT ROTATION PEDIATRIC RADIOLOGY
RESIDENT MANUAL RADIOLOGY RESIDENT ROTATION PEDIATRIC RADIOLOGY INTRODUCTION Welcome to Pediatric Radiology at Arkansas Children s Hospital. We hope you learn lots of Pediatric Radiology, and that you
More informationLothian Guideline for Domiciliary Oxygen Therapy Service for COPD
Lothian Guideline for Domiciliary Oxygen Therapy Service for COPD This document describes the standard for clinical assessment, prescription, optimal management and follow-up of patients receiving domiciliary
More informationComputed Tomography (CT) - Chest
Scan for mobile link. Computed Tomography (CT) - Chest Computed tomography (CT) of the chest uses special x-ray equipment to examine abnormalities found in other imaging tests and to help diagnose the
More informationMeasure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization
Client HMSA: PQSR 2009 Measure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization Strength of Recommendation Organizations
More informationSeptember 2008 [KT 168] Sub. Code: 2063 M.D. DEGREE EXAMINATION Branch XVII Tuberculosis and Respiratory Diseases NON-TUBERCULOSIS CHEST DISEASES Common to Part II Paper II - (Old /New/Revised Regulations)
More informationDepartment of Surgery
What is emphysema? 2004 Regents of the University of Michigan Emphysema is a chronic disease of the lungs characterized by thinning and overexpansion of the lung-like blisters (bullae) in the lung tissue.
More informationPulmonary Patterns VMA 976
Pulmonary Patterns VMA 976 PULMONARY PATTERNS Which pulmonary patterns are commonly described in veterinary medicine? PULMONARY PATTERNS Normal Alveolar Interstitial Structured/Nodular Unstructured Bronchial
More informationPrimary -Benign - Malignant Secondary
TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very low
More informationPatient sample criteria for the OPEIR Measures Group are all patients regardless of age, that have a specific CT procedure performed:
OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES GROUP OVERVIEW 2016 PQRS OPTIONS F MEASURES GROUPS: 2016 PQRS MEASURES IN OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES
More informationSample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects
Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects This document lists sample learning objectives by subject matter The numerical ranking in parenthesis following
More informationFIBROGENIC DUST EXPOSURE
FIBROGENIC DUST EXPOSURE (ASBESTOS & SILICA) WORKER S MEDICAL SCREENING GUIDELINE Prepared By Dr. T. D. Redekop Chief Occupational Medical Officer Workplace Safety & Health Division Manitoba Labour & Immigration
More informationX-ray (Radiography), Upper GI Tract
Scan for mobile link. X-ray (Radiography), Upper GI Tract What is Upper Gastrointestinal (GI) Tract Radiography? Upper gastrointestinal tract radiography, also called an upper GI, is an x-ray examination
More informationNeoplasms of the LUNG and PLEURA
Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:
More informationEXHIBIT H SETTLEMENT ELIGIBILITY CRITERIA. a) pharmacy records reflecting the dispensing of Bextra and/or Celebrex to the Class Member; or
EXHIBIT H SETTLEMENT ELIGIBILITY CRITERIA 1. PRODUCT IDENTIFICATION DOCUMENTATION In order to be eligible for compensation under the Settlement Agreement, each Claimant must provide evidence of the Class
More informationImaging Technology. Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist
Imaging Technology Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist Diagnostic Medical Sonographer, Dosimetrist Diagnostic Medical
More informationUW MEDICINE PATIENT EDUCATION. Aortic Stenosis. What is heart valve disease? What is aortic stenosis?
UW MEDICINE PATIENT EDUCATION Aortic Stenosis Causes, symptoms, diagnosis, and treatment This handout describes aortic stenosis, a narrowing of the aortic valve in your heart. It also explains how this
More informationLEARNING OUTCOMES. Identify children at risk of developing TB disease. Correctly manage and refer children suspected of TB. Manage child contacts
TB in Children 1a TB IN CHILDREN 2 LEARNING OUTCOMES Identify children at risk of developing TB disease Correctly manage and refer children suspected of TB Manage child contacts 3 TB Infection and Disease
More information53 X-rays and Diagnostic Radiology
Learning Outcomes 53.1 Explain how x-rays are used for diagnostic and therapeutic purposes. 53-2 CHAPTER 53 X-rays and Diagnostic Radiology 53.2 Compare invasive and noninvasive diagnostic procedures.
More informationRadiation-Induced Lung Injury
May 2001 Radiation-Induced Lung Injury Warren Phipps, Harvard Medical School Year III Our Patient D.C. is a 50 year-old woman with a 30-pack year history of smoking who presented to the ED because she
More informationLimited Permit X- ray Technician Program
Limited Permit X- ray Technician Program Responsibilities of a Limited X-ray Technician Due to the strong pay and solid job prospects, more and more people are becoming X- ray technicians. Additionally,
More informationPROBLEM-ORIENTED MEDICAL RECORD (POMR)
PROBLEM-ORIENTED MEDICAL RECORD (POMR) The POMR as initially defined by Lawrence Weed, MD, is the official method of record keeping used at Foster G. McGaw Hospital and its affiliates. Many physicians
More informationRadiation Safety Issues for Radiologic Technologists
Radiation Safety Issues for Radiologic Technologists Greg Sackett, M.S., CHP Medical Physicist Radiation Worker Risks? 1 Patient Risks? Acute Effects? Delayed Effects? Patient Questions? Radiation Dose
More informationEmergency Medical Technician
Emergency Medical Technician Admission Requirements EMERGENCY MEDICAL TECHNICAL IMPORTANT: PLEASE READ CAREFULLY Classes are held on Tuesday and Thursday nights from 5:00 p.m. until 9:00 p.m. All classes
More informationTuberculosis. Getting Healthy, Staying Healthy
Tuberculosis Getting Healthy, Staying Healthy U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Allergy and Infectious Diseases Tuberculosis Getting Healthy,
More informationAPPLICATION FOR THE RN to BSN PROGRAM NAME: ADDRESS:
APPLICATION FOR THE RN to BSN PROGRAM PLEASE PRINT CLEARLY NAME: ADDRESS: Please check Campus you wish to attend: Rutgers Camden: Atlantic Cape Community College: Camden County College at Blackwood: Home
More informationApril 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE
April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working
More informationX-ray (Radiography) - Bone
Scan for mobile link. X-ray (Radiography) - Bone Bone x-ray uses a very small dose of ionizing radiation to produce pictures of any bone in the body. It is commonly used to diagnose fractured bones or
More informationThe Practice Standards for Medical Imaging and Radiation Therapy. Radiography Practice Standards
The Practice Standards for Medical Imaging and Radiation Therapy Radiography Practice Standards 2015 American Society of Radiologic Technologists. All rights reserved. Reprinting all or part of this document
More informationNEEDLE THORACENTESIS Pneumothorax / Hemothorax
NEEDLE THORACENTESIS Pneumothorax / Hemothorax By: Steven Jones, NREMT-P Pneumothorax Pneumothorax is a collection of air or gas in the pleural space of the lung, causing the lung to collapse. Pneumothorax
More informationMarilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
More informationHawaii Administrative Rules. Title 11. Department of Health. Chapter 164. Tuberculosis
Hawaii Administrative Rules Title 11 Department of Health Chapter 164 Tuberculosis 11-164-1 Purpose 11-164-2 Definitions 11-164-3 Reports to the department 11-164-4 Content of report 11-164-5 Examination
More informationLinfoma maligno pulmonar tratado com Nerium oleander. http://www.drozel.org/eng/diagnosis_malignant_mg.htm CASE REPORT
Linfoma maligno pulmonar tratado com Nerium oleander http://www.drozel.org/eng/diagnosis_malignant_mg.htm CASE REPORT Diagnosis: Malignant lymphoma, lung cancer A 60-year-old woman experienced pain in
More informationThe Pattern of Congenital Heart Disease among Neonates Referred for Echocardiography
Bahrain Medical Bulletin, Vol. 36, No. 2, June 2014 ABSTRACT The Pattern of Congenital Heart Disease among Neonates Referred for Echocardiography Hussain Al Khawahur, MD* Hussain Al Sowaiket, MD** Thuria
More informationMedicare Part B. Mammograms - Updated Billing Guide for Screening and Diagnostic Tests
Mammograms - Updated Billing Guide for Screening and Diagnostic Tests This article from Medicare B News Issue 223 dated October 21, 2005 is being updated and reprinted to ensure that the Noridian Administrative
More informationNational Rheumatoid Arthritis Society. THE ECONOMIC BURDEN OF RHEUMATOID ARTHRITIS March 2010
National Rheumatoid Arthritis Society THE ECONOMIC BURDEN OF RHEUMATOID ARTHRITIS March 2010 ABOUT NRAS NRAS provides support, information, education and advocacy for people with rheumatoid arthritis (RA)
More information