2016, Disease and Hospital - Diagnostic Imaging Brief

PET/MRI may help diagnose fevers of unknown origin

AuntMinnie

JANUARY 8, 2024

In a study that included 104 patients, PET/MRI provided high sensitivity and specificity for determining underlying causes, especially in patients with elevated C-reactive protein, a blood biomarker of inflammation, according to lead author Tomas Rohan, MD, of University Hospital Brno in Brno, Czechia. “To

Diagnose

Diagnose MRI Nuclear Medicine Hospital

Opportunistic low-dose CT lung cancer screening reduces mortality

AuntMinnie

DECEMBER 12, 2023

Opportunistic low-dose CT (LDCT) lung cancer screening can reduce mortality from the disease by almost 50%, research published December 12 in JAMA Network Open has found. The study that included 5,234 patients who underwent lung cancer screening at Weihai Municipal Hospital Healthcare Group, Weihai City, China, between 2016 and 2021.

Hospital

Hospital Disease IT Healthcare

Breast Cancer Rates Increasing Among Younger Women

Imaging Technology

JANUARY 29, 2024

Such changes in disease rates in young women observed over time — analyzed by age, race, tumor type, tumor stage and other characteristics — may offer clues to possible prevention strategies. By 2016, the rate had reached about 66 cases per 100,000. The study is published Jan.

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Diagnose Disease Hospital IT

CAC measurements on nongated chest CT improve surgery risk assessment

AuntMinnie

OCTOBER 13, 2023

The team conducted a study that included 2,554 adults aged 45 and older who underwent in-hospital, major noncardiac surgery between 2016 to 2020; all patients had nongated chest CT imaging (either with contrast, 58.1%, or without contrast 41.9%) within one year before surgery.

Clinic

Clinic Disease Patient Care Imaging

Society of Nuclear Medicine and Molecular Imaging Names Helen Nadel, MD, FRCPC, of Stanford, as President, Announces New Officers at SNMMI 2023 Annual Meeting

Imaging Technology

JUNE 27, 2023

The potential impact of nuclear medicine in the care of patients dealing with cancer, heart disease, brain disease, and other challenges is enormous,” she said. “We Nadel earned her medical degree from the University of Manitoba in Winnipeg, Manitoba, Canada, in 1977.

Nuclear Medicine

Nuclear Medicine Imaging Hospital Radiology

Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. 2016 PMID:27075364 13 Astasio-Picado Á et al. PMID: 33350794 10 Meilandt C. Resusc Plus. Resuscitation.

Hospital

Hospital Inpatient Ultrasound Clinic

Managing the Patient with Alcohol Intoxication

REBEL EM

MARCH 9, 2023

The situation is more dangerous given the high incidence of chronic disease, critical illness, and acute trauma. Barr 2016 , Trevejo-Nunez 2015) Patients are at high risk of bleeding from the GI tract due to clotting factor impairment or devastating hemorrhage from esophageal varices in the setting of portal hypertension. Alcohol Res.

Hospital

Hospital Clinic Emergency Room Public Health

The DINAMO Study: Efficacy and Safety of Non-Antibiotic Outpatient Treatment in Mild Acute Diverticulitis

REBEL EM

AUGUST 18, 2022

Results: A total of 480 patients were enrolled 242 were randomized to the non-antibiotic group 238 were randomized into the group receiving antibiotic therapy There was NO STATISTICALLY SIGNIFICANT difference in hospitalizations. to 1.17) There was NO STATISTICALLY SIGNIFICANT difference in return visits to the Emergency Department.

Clinic

Clinic Hospital Disease Radiograph

Tricuspid Valve Repair with MitraClip

Global Radiology CME

JULY 25, 2021

Rarer causes include rheumatic disease, congenital, myxomatous degeneration, endocarditis, or pulmonary hypertension [3]. Diagnosis and treatment of tricuspid valve disease: current and future perspectives. In 2016, Dr. Rice was nominated and became a semifinalist for a ,"Minnie" Award for the Most Effective Radiology Educator.

Minimally Invasive Procedure

Minimally Invasive Procedure X-ray Global Radiology Education

Chalk Stick Fracture in Ankylosing Spondylitis

Global Radiology CME

APRIL 2, 2023

Ankylosing Spondylitis: Ankylosing spondylitis (AS) is a seronegative spondyloarthropathy and chronic inflammatory disease of the axial skeleton that leads to the partial or complete fusion and rigidity of the spine. Because radiography may not detect early signs of AS, non-enhanced MRI is recommended in identifying early signs of disease.

Education

Education Interventional Radiology Radiography Global Radiology

Type 3 Cuboid Fracture

Global Radiology CME

SEPTEMBER 30, 2021

Cuboid Fracture Classification: In 2016, Fenton et al. Malunion, degenerative joint disease, persistent subluxation, and prolonged pain are complications of mismanaged cuboid fractures [2]. In both 2016 and 2021, Dr. Rice was nominated and became a semifinalist for a ,"Minnie" Award for the Most Effective Radiology Educator.

Radiograph

Radiograph Radiographer Radiographer Magnetic Resonance Imaging

Inflammatory Breast Carcinoma

Global Radiology CME

SEPTEMBER 18, 2022

Both tissue diagnosis of malignancy and clinical evidence of inflammatory disease are required to confirm the diagnosis of IBC [3]. Around 3-6 months and most commonly within 3 months into the disease progression, changes of the skin and development of an underlying mass will be appreciated and are used to validate the diagnosis.

Mammogram

Mammogram Education Bone Scan Global Radiology

Capsule Retention Following Capsule Endoscopy

Global Radiology CME

SEPTEMBER 5, 2023

Capsule Retention and Risk Factors: Capsule endoscopy is used for evaluating small-bowel disorders, such as bleeds and Crohn disease.[ For patients with inflammatory bowel disease, the use of steroids has been shown to assist the excretion of capsules in up to 20-30% of all CR cases.[

X-ray

X-ray Education Interventional Radiology Radiograph

Acute Infective Vasitis

Global Radiology CME

SEPTEMBER 11, 2022

Discussion: Vasitis refers to a rare inflammatory disease of the vas deferens (1). Formerly the Chief of Staff at Valley Presbyterian Hospital in Los Angeles, California. In 2016 and , Dr. Rice was nominated and became a semifinalist for a "Minnie" Award for the Most Effective Radiology Educator.

Ultrasound

Ultrasound Education Global Radiology Computed Tomography

Porencephaly

Global Radiology CME

JULY 26, 2021

Avery’s Diseases of the Newborn, Elsevier, 2018, pp. Diagnostic Imaging: Obstetrics, Elsevier, 2016, pp. Rice, MD is the president of Global Radiology CME Dr. Rice is a radiologist with ,Renaissance Imaging Medical Associates and is currently the Vice Chief of Staff at ,Valley Presbyterian Hospital in Los Angeles, California.

Communication

Communication Education Global Radiology Radiology

3D Mammography Almost Halves the Incidence of Breast Cancer Between Two Screening Tests

Imaging Technology

MARCH 20, 2024

For obvious reasons, it is a very reliable indicator of the effectiveness of early detection programs for this disease: if the number of cancers that appear after a screening is high, it is a sign that the program is not working. Everything indicates that science will continue to make progress against this disease in the years to come.

Mammogram

Mammogram Disease X-ray Diagnose

Non Contrast CT Head for the EM Physician

Northwestern EM

SEPTEMBER 21, 2020

Intraparenchymal/intraventricular hemorrhage - Often the result of hypertensive disease in elderly patients or as hemorrhagic strokes, intraparenchymal hemorrhage will most often be located in the basal ganglia. Early identification is thus crucial to reducing mortality from these injuries. Weygandt, L. 2020, Feb 10). 1998;32(5):554-562.

Computed Tomography

Computed Tomography Health Science Diagnose Radiology

REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

REBEL EM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 selection bias) Unclear therapies prior to lytics (i.e. to 4.0mg/hr typically given in EKOS therapy (See Below). PMID: 15262836 Sharifi M et al. PMID: 27422214 Wang C et al.

Hospital

Hospital Clinic Disease Ultrasound

REBEL Core Cast 89.0 – Spontaneous Bacterial Peritonitis

REBEL EM

NOVEMBER 2, 2022

The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. Journal of Gastroenterology and Hepatology 2016. grams/kg within 6 hours 1.0 Bacterial infection in patients with advanced cirrhosis: a multicentre prospective study. Dig Liver Dis 2001; 33(1): 41-48. PMID: 11303974 Gaetano et al.

Diagnostic

Diagnostic Hospital Disease Clinic

Minnies winners for 2023 highlight AI, innovation in radiology

AuntMinnie

OCTOBER 31, 2023

He received his first Most Influential Radiology Researcher Minnie in 2016, largely due to his previous work in CT colonography. Under a long-standing agreement between the state and the federal government, all Maryland hospitals receive a single, annual global payment for their services, similar to capitation.

Radiology

Radiology Education Medicare Clinic

An Herbal Hope: Is XBJ A Game-Changer in Sepsis Management?

REBEL EM

AUGUST 14, 2023

001) Hospital mortality: Placebo 22.8% The most common reasons for exclusion included severe liver and kidney dysfunction, severe primary disease, and diagnosis of sepsis ≥48hrs. 2016 Feb 23;315(8):801-10. This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation.

Clinic

Clinic Hospital Disease IT

Andexxa Vs 4F-PCC in ICH: An Ongoing Debate

REBEL EM

NOVEMBER 28, 2022

The synthetic control arm was obtained retrospectively from one of three acute care hospitals in the Hartford Healthcare network between 12/1/2016 and 8/30/2020. Study participants from one of three Hartford Healthcare hospitals. The primary outcomes were disease-oriented and not-patient-oriented. vs. 24.2%). Crowther, M.,

Hospital

Hospital Healthcare Healthcare Disease

VTE Recurrence in Subsegmental PE: What’s the Risk?

REBEL EM

JULY 28, 2022

However, when the threat of disease outweighs the risk from any possible complication, the decision to anticoagulate is easy to conclude. Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report [published correction appears in Chest. 2016 Oct;150(4):988]. PMID: 34807722 Kearon C, Akl EA, Ornelas J, et al.

Ultrasound

Ultrasound Disease Clinic Hospital

Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

REBEL EM

MAY 11, 2023

What They Did: Retrospective cohort study at a single academic medical center between July 1, 2016 to June 30, 2019. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital.

Disease

Disease Medical Inpatient Hospital

Ruptured Globe

Global Radiology CME

JUNE 5, 2023

Following surgery, patients should begin antibiotic coverage of pathogens associated with endophthalmitis per recommendations provided by their institution’s infectious disease specialist. He has held several leadership positions including Board Member and Chief of Staff at Valley Presbyterian Hospital in Los Angeles, California.

Computed Tomography

Computed Tomography Education Interventional Radiology Global Radiology

The radiologist in 22 years time

Radiology Cafe

MARCH 25, 2018

It is likely that they will lead clinic with patients to discuss their imaging, as already happens in some hospitals. 2016, International Journal of scientific research, pp. 2016, Nature. 2016, The Economist. 2016, Science Translational Medicine. Nanotechnology: intelligent design to treat complex disease.

Radiologist

Radiologist Magnetic Resonance Imaging Computed Tomography Clinic

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

REBEL EM

MAY 22, 2023

A turning point occurred in 2016 when a generic formulation of IV acetaminophen became available, significantly reducing costs and potentially facilitating broader utilization in routine practice. The Canadian Journal of Hospital Pharmacy. saline Comparator: Hydromorphone 0.5mg administered IV in a 100 mL bag of 0.9% 2015;68(3).

Hospital

Hospital Medical Clinic IT

TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

REBEL EM

SEPTEMBER 26, 2022

What They Did Single-center randomized controlled study design performed by the Department of Hepatology & Liver transplantation in New Delhi Study participants, investigator clinicians, data collectors, and data analysts were blinded Investigators recruited participants from February 27, 2016 – March 3, 2018. Furthermore, 14.3%

Hospital

Hospital Disease Clinic Medical

Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

REBEL EM

JANUARY 23, 2023

Benadryl (diphenhydramine hydrochloride injection,USP) [package insert] New Brunswick , NJ: Johnson & Johnson; 2016. Patterson’s allergic diseases. PMID: 17883909. Bernstein J, Leslie T. Antihistamines. In: Grammer LC, Greenberger PA, editors. Philadelphia: Wolters Kluwer Health; 2018. 2, 2001, pp.

Pharmaceutical

Pharmaceutical Clinic Medical Hospital

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

AUGUST 29, 2022

mg/kg intravenous) or ketamine (1-2 mg/kg intravenous) Intubation performed by procedure-focused airway team under Department of Anesthesiology on hospital patients in Level 1 trauma center in Dallas. All intubations were performed on hospitalized patients, limiting application to the ED population.

Clinic

Clinic Hospital Disease IT

REBEL Core Cast 122.0 – Neutropenic Fever

REBEL EM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Epub 2016 Dec 29. Neutropenic Fever: Fever (one reading of 38.3C Default to using whichever score your oncologist is more comfortable with. Ann Emerg Med. 2017 Jun;69(6):755-764. doi: 10.1016/j.annemergmed.2016.11.007.

Disease

Disease Clinic Communication Medical

Flipped Classrooms Shouldn’t Save Medical School

Ben White

JUNE 30, 2023

to be exact) that the patient actually has the disease. to be exact) that the patient actually has the disease. But tennis is still very much on the kind end of the spectrum compared to, say, a hospital emergency room, where doctors and nurses do not automatically find out what happens to a patient after their encounter.

Medical

Medical Education Disease Emergency Room

Diagnostic Imaging Brief

PET/MRI may help diagnose fevers of unknown origin

Opportunistic low-dose CT lung cancer screening reduces mortality

Trending Sources

Breast Cancer Rates Increasing Among Younger Women

CAC measurements on nongated chest CT improve surgery risk assessment

Society of Nuclear Medicine and Molecular Imaging Names Helen Nadel, MD, FRCPC, of Stanford, as President, Announces New Officers at SNMMI 2023 Annual Meeting

Don’t Forget About the IO in the Critically Ill Patient

Managing the Patient with Alcohol Intoxication

The DINAMO Study: Efficacy and Safety of Non-Antibiotic Outpatient Treatment in Mild Acute Diverticulitis

Tricuspid Valve Repair with MitraClip

Chalk Stick Fracture in Ankylosing Spondylitis

Type 3 Cuboid Fracture

Inflammatory Breast Carcinoma

Capsule Retention Following Capsule Endoscopy

Acute Infective Vasitis

Porencephaly

3D Mammography Almost Halves the Incidence of Breast Cancer Between Two Screening Tests

Non Contrast CT Head for the EM Physician

REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

REBEL Core Cast 89.0 – Spontaneous Bacterial Peritonitis

Minnies winners for 2023 highlight AI, innovation in radiology

An Herbal Hope: Is XBJ A Game-Changer in Sepsis Management?

Andexxa Vs 4F-PCC in ICH: An Ongoing Debate

VTE Recurrence in Subsegmental PE: What’s the Risk?

Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

Ruptured Globe

The radiologist in 22 years time

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL Core Cast 122.0 – Neutropenic Fever

Flipped Classrooms Shouldn’t Save Medical School

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