Acute Care Radiology Cases For Primary and Emergency Physicians

Fundamental Acute Care Radiology is an interactive training program designed to refine the primary care, or emergency physician's ability to quickly diagnose the entire spectrum of problems recognisable on radiographs.

Table of Contents:

Abdominal, Pelvis, and Genitourinary Cases:
Abdomen
Introduction
Displacement Phenomena and Mass Effects on Abdominal Images
Injuries to the Spleen and Hemoperitoneum
Ileus and Bowel Obstruction
Branching Air Patterns within the Biliary System
Bowel Wall Thickening: Ischemic, Infectious, or Inflammatory
Important Radiographic Findings on Periphery of Film, "Cornershots"
Diaphragmatic Hernia
Free Air in the Abdominal Cavity - Pneumoperitoneum
Vascular and Non-Vascular Calcifications Found on Abdominal Imaging
Foreign Bodies

Pelvis and Genitourinary Tract
Introduction to Imaging of the Pelvis: Detection of Subtle Fractures and Joint Effusions
Acetabular Fractures
Slipped Femoral Capital Epiphysis and Adolescent Hip Injuries
Hip Dislocations
Major Pelvic Disruptions
Renal Calculi Imaging
Urethral Disruptions
Perivesical Hematomas
Bladder Disruption
Renal Parenchymal/Retroperitoneal Injuries

Chest Cases
Introduction
Introduction & Approach to Reading Chest Radiographs

The Lungs
Focal Densities, Infiltrates, and Atelectasis
Homogeneous Densities
Multiple and Diffuse Lung Densities
Pulmonary Contusions
Pulmonary Embolism
Congestive Heart Failure

The Pleural Spaces
Pleural Effusions and Hemothoraces
Airway Leaks and Pneumothoraces

The Mediastinum and Its Contents
Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema
Hemomediastinum
Traumatic Aortic Disruptions
Thoracic Aortic Dissection
Hiatal Hernia
Esophageal Rupture

The Diaphragm & Miscellaneous Topics
Diaphragmatic Abnormalities & Injuries
Sternal Fractures
Miscellaneous Cases

Extremity Cases
Extremity Cases
Shoulder
Traumatic Injuries to the Elbow
Traumatic Injuries to the Distal Forearm/Wrist
Imaging of the Knee
Air in the Joints and Soft Tissues
Ankle Fractures
Destructive Bone Lesions

Lumbar and Thoracic Spine Cases
Lumbar and Thoracic Spine
Introduction
Lumbar and Sacral Fractures
Infection Involving the Vertebra or Disc Spaces
Degenerative, Congenital, and Neoplastic Lumbar Disease
Presentation of Myelopathies versus Radiculopathies

Neuro-Imaging (CNS), Facial Bones, & Cervical Spine Cases
Central Nervous System
Introduction to CNS Imaging
Subarachnoid Hemorrhage
Subdural vs Epidural Hemorrhage
Intraparenchymal Contusion/Hematoma: Traumatic vs Spontaneous
Arteriovenous Malformation (AVM)
Cerebral Edema
Skull Fractures
CNS Infection, Cerebritis vs Abscess
Mass Lesions of the Brain
Congenital Intrauterine Transmission of Infection to the Fetal Brain
Neuroimaging in the AIDS Patient
Cerebral Infarction
Extra-Axial Low Density Fluid Collection
Hydrocephalus

Facial Bones
Introduction
Fractures of the Facial Bones
Soft Tissue Changes on Facial Images

Cervical Spine
Introduction to Cervical Spine Imaging
Evaluation of the Prevertebral Soft Tissue Space (PVSTS)
Evaluation of the Pediatric Prevertebral Soft Tissue Space (PVSTS)
Epiglottitis and Other Soft Tissue Infections
Evaluation of the Subglottic Airway
Evaluation of the Atlanto-Occipital Relationship
Fractures of the Odontoid
Evaluation of the Upper Cervical Spine
Evaluation of the Lower Cervical Spine
Epidural Fluid Collection: Abscess vs Hematoma
Evaluation of Foreign Bodies vs. Anatomical Variants
Evaluation of the Pediatric Cervical Spine X-ray
Unilateral and Bilateral Facet Dislocation
Soft Tissue of the Neck

Target Audience:
Fundamental Acute Care Radiology is intended for all medical practitioners who use radiographs for medical diagnosis; and who need to be familiar with the radiographic manifestations of diseases.

Educational Objectives:
On completing this program, the medical practitioner will be able to:  

1. Recognize typical radiographic examples of disorders causing abdominal, pelvic, and genitourinary abnormalities.
2. Given specific patient presentations with radiographs, diagnose disorders causing abdominal, pelvic, and genitourinary abnormalities.
3. Describe the key radiographic features of disorders causing abdominal, pelvic, and genitourinary abnormalities.
4. Recognize typical radiographic examples of disorders causing chest x-ray abnormalities.
5. Given specific patient presentations with radiographs, diagnose disorders causing chest x-ray abnormalities.
6. Describe the key radiographic features of disorders causing chest x-ray abnormalities.
7. Recognize typical radiographic examples of disorders causing extremity and lumbar spine abnormalities.
8. Given specific patient presentations with radiographs, diagnose disorders causing extremity and lumbar spine x-ray abnormalities.
9. Describe the key radiographic features of disorders causing extremity and lumbar spine abnormalities.
10. Recognize typical radiographic examples of disorders causing head and neck abnormalities.
11. Given specific patient presentations with radiographs, diagnose disorders causing head and neck x-ray abnormalities.
12. Describe the key radiographic features of disorders causing head and neck abnormalities.
13. Demonstrate mastery of the knowledge and cognitive skills required to achieve the above objectives by scoring at least 80% on all topics studied for CME credit.

New and Revised Pedagogic Content

• Ileus and Bowel Obstruction
• Bowel Wall Thickening: Ischemic, Infectious, or Inflammatory
• Free Air in the Abdominal Cavity - Pneumoperitoneum
• Vascular and Non-Vascular Calcifications Found on Abdominal Imaging
• Hip Dislocations
• Pulmonary Embolism
• Hemomediastinum
• Traumatic Injuries to the Elbow
• Ankle Fractures
• Destructive Bone Lesions
• Lumbar and Sacral Fractures
• Infection Involving the Vertebra or Disc Spaces
• Degenerative, Congenital, and Neoplastic Lumbar Disease
• Subdural vs Epidural Haemorrhage
• CNS Infection, Cerebritis vs Abscess
• Mass Lesions of the Brain
• Introduction to Orbital Scanning
• Fractures of the Facial Bones
• Soft Tissue Changes on Facial Images
• Introduction to Cervical Spine Imaging
• Epiglottitis and Other Soft Tissue Infections

System Requirements: Windows 2000 sp4+, XP sp1+ (Home, Professional or MCE) or Vista (Home Basic/Premium, Business or Ultimate) (Windows 2000 or XP sp2 preferred). Pentium III - 1GHz or faster, 24X CD-ROM drive or faster, Video Card and Monitor capable of at least 1024x768 resolution; Sound Card and Speakers, Microsoft Mouse or compatible pointing device. Windows 2000 sp4+, or Windows XP sp1+ (Home/Prof/MCE): 512MB or greater, Windows Vista (Home Basic/Premium, Business, or Ultimate): 1GB or greater. Run from CD-ROM: 1MB with CD-ROM, Full Installation: Amount varies with each product. Microsoft Internet Explorer 6.x or Internet Explorer 7.x, Netscape Navigator 7.x or later, Mozilla Firefox 1.x or later. Sun Java2 (JRE) 1.4.2_07 - 1.4.2_16. Internet Access with a 56K modem or faster (DSL, Cable, Broadband, etc.). Macromedia Flash 6 player or later, A media player* with codecs for ".mp3" audio and ".mpg" MPEG1 video/audio.

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