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Scaphoid Fractures – Emergency Management
www.rch.org.au/clinicalguide/guideline_index/fractures/Scaphoid_Fractures_–_Emergency_Management/
if clinical suspicion is high. If x-ray is normal and clinical suspicion is high, then CT or MRI may … clinic where CT/MRI can be arranged. If the x-ray is normal and an MRI cannot be immediately obtained … snuff box tenderness, consideration should be given to MRI to confirm or exclude a fracture Where …
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Patellar Dislocation - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Patellar_Dislocation_-_Emergency_Department/
for the first time should undergo an outpatient MRI examination of the knee even if the radiological evaluation …. The MRI scan is not urgent and in most cases can be performed as an outpatient investigation within 7 days … osteochondral fragment anterior aspect of knee on MRI 7. When is operative treatment required? The presence …
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Elbow Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Elbow_Dislocations_-_Emergency_Department/
imaging in the form of CT and/or MRI BEWARE seemingly innocent “specks” on an elbow x-ray following … (The Radiographic Appearance Seems Harmless). If in doubt, obtain further imaging in the form of CT/MRI … in the form of either a CT or MRI 6. What do they look like on x ray? Discontinuity between the ulnohumeral …
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Bone and joint infection
www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
in suspected septic arthritis Highly sensitive, but not specific MRI with contrast Preferred test … Highly sensitive for myositis Technetium bone scan May be useful where access to MRI is limited … Plays a limited role in suspected bone and joint infections. Should not be used in lieu of MRI or bone …
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Acute knee injuries - emergency department
www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_knee_injuries_-_emergency_department/
an outpatient MRI (medicare rebate applicable) if there are any persisting signs suggestive of internal joint … and MRI findings. Orthopaedic outpatient review should occur in all cases of ACL ruptures, meniscal … with a completed MRI demonstrating an ACL injury. This may be driven by a misunderstanding that earlier surgery …
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Shoulder Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
MRI and surgical repair. 2. How are shoulder dislocations classified? Traumatic, unidirectional First … that early MRI can help stratify risks of repeat dislocation. This can be discussed with the professional … or Orthopaedics. There is emerging evidence that MRI can help stratify risks for repeat dislocation - merits …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
stroke, urgent brain MRI and MRA should be performed Where urgent MRI is not possible within 30 minutes …
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Infantile spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
and commencement of treatment Investigations Urgent awake and sleep EEG Prompt MRI brain Other investigations … children with suspected IS Consider transfer when Urgent EEG, prompt MRI and neurology consultation …
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Sickle cell disease
www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
if concerns regarding stroke or MRI if available without delay Management Contact RCH on-call Haematologist … to determine if haemorrhagic or ischaemic stroke MRI is the modality of choice Or if not available CT (NO …
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Common causes of ataxia
www.rch.org.au/clinicalguide/guideline_index/Common_causes_of_ataxia/
is clinical; lumbar puncture may show a pleocytosis and increased protein. MRI shows multiple areas …