Emergency radiology
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Bony avulsions about the knee are common injuries seen in the emergency room. Unawareness of characteristic radiographic patterns of injury that herald potential instability and require further workup can result in significant morbidity. ⋯ Emphasis is on injuries leading to instability, and often surgical management. MRI is a useful imaging tool for screening and surgical planning in this setting of patients.
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Emergency radiology · Jun 2005
Agreement between emergency physician diagnosis and radiologist reports in patients discharged from an emergency department with community-acquired pneumonia.
To evaluate the level of concurrence between radiologist reports and the diagnosis of community-acquired pneumonia (CAP) in patients discharged from an emergency department (ED), a retrospective chart audit of patients discharged with a diagnosis of 'pneumonia' or 'possible pneumonia' from the ED during a 2-year period was conducted. Emergency physician (EP) and radiology report (RR) diagnoses were categorized as 'pneumonia', 'possible pneumonia', 'non-pneumonia' and 'normal', and categories from each were compared. 815 charts were analyzed. ⋯ EPs and radiologists frequently disagree on whether a patient has pneumonia or not. Perhaps it is time to revisit the gold standard status of plain chest X-ray.