
Dr. SMH
February 21, 2025 at 09:05 AM
*Trauma*
Unstable Vitals:USG(FAST)
Stable : contrast CT
PERFORATION suspected Initial : XRAY erect
USG: Biliary Colic,Pyloric Stenosis,Pelvic Pain (gynae),Appendicitis,intussesception,Hernia,renal stones,cholecystitis,asc coalngitis
CT: post surg complication (abcess),post abdominal surg. ,pnacreatic CA
CT WITH CONTRAST: acute pancreatits
CT is always done with contrast except for hemorrhagic stroke and CT KUB
*URGENT Endoscopy* in all patients with dysphagia (not pharyngeal pouch though)
* >55 yrs + weight loss or any abdo pain/ reflux/ dysplasia
*ROUTINE endoscopy*
* Still having dyspepsia after second line h pylori eradication too
* recurrent /refractory symptoms despite taking PPI for 4 weeks
*Post menopausal Bleed*
Initial: TV USG
Definitive: Diagnosis hysteroscopy+ biopsy
Colonoscopy: Crohns and ulcerative colitis
*MRI* for symptomaticMets
*Scintigraphy* is for screening for those in remission
Submucosal / intramural fibroids- *Hysteroscopic Myomectomy*
Subserosal - *Abdominal myomectomy*
*DDH:*
<4.5months: USG
>4.5months: HIP X RAY