Loberant N, Rose C
Department of Radiology, Western Galilee Regional Hospital, Nahariya, Israel.
Emerg Med Clin North Am. 1990 May;8(2):361-97.
This article has reviewed the imaging modalities for clinical problems that are prevalent or problematic in the geriatric Emergency Department population. Geriatric patients may present with atypical symptoms that mask serious illness: diagnostic imaging begins with a high index of suspicion and the choice of the proper imaging modality. For certain problems, such as skeletal trauma and chest complaints, conventional radiography provides an excellent screening examination. For other problems--abdominal, vascular, and central nervous system disorders--computed tomography, ultrasound, and radionuclide scanning have become important primary imaging modalities. Since the emergency physician is in a position to direct the initial imaging of the patient, he or she must weight the factors of cost, invasiveness, and accuracy of the diagnostic modalities available at the institution. Emergency radiology is a growing field. References have been included in the reference list for general emergency radiology, specific modalities, and specific anatomic areas. In addition, there are resources that document pitfalls in imaging; the Keats volume is indispensable both in the Emergency Department and in the Radiology Department.
本文回顾了针对老年急诊科人群中普遍存在或成问题的临床问题的成像方式。老年患者可能表现出非典型症状，掩盖严重疾病：诊断性成像始于高度的怀疑指数和适当成像方式的选择。对于某些问题，如骨骼创伤和胸部不适，传统放射照相术提供了出色的筛查检查。对于其他问题——腹部、血管和中枢神经系统疾病——计算机断层扫描、超声和放射性核素扫描已成为重要的主要成像方式。由于急诊医生能够指导患者的初始成像，他或她必须权衡机构中可用诊断方式的成本、侵入性和准确性等因素。急诊放射学是一个不断发展的领域。参考文献列表中包含了一般急诊放射学、特定成像方式和特定解剖区域的参考文献。此外，有一些资源记录了成像中的陷阱；济慈的著作在急诊科和放射科都是不可或缺的。
