ACR Appropriateness Criteria® Acute Pelvic Pain in the Reproductive Age Group.
نویسندگان
چکیده
Premenopausal women who present with acute pelvic pain frequently pose a diagnostic dilemma, exhibiting nonspecific signs and symptoms, the most common being nausea, vomiting, and leukocytosis. Diagnostic considerations encompass multiple organ systems, including obstetric, gynecologic, urologic, gastrointestinal, and vascular etiologies. The selection of imaging modality is determined by the clinically suspected differential diagnosis. Thus, a careful evaluation of such a patient should be performed and diagnostic considerations narrowed before a modality is chosen. Transvaginal and transabdominal pelvic sonography is the modality of choice when an obstetric or gynecologic abnormality is suspected, and computed tomography is more useful when gastrointestinal or genitourinary pathology is more likely. Magnetic resonance imaging, when available in the acute setting, is favored over computed tomography for assessing pregnant patients for nongynecologic etiologies because of the lack of ionizing radiation. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
منابع مشابه
Acute Pelvic Pain
Acute pelvic pain, defined as the sudden onset of lower abdominal or pelvic pain lasting less than 3 months [1], is a common urgent clinical presentation. Women frequently present to the emergency department after hours. More than one third of women of reproductive age experience nonmenstrual pelvic pain [2]. Acute pelvic pain can pose a diagnostic challenge because the clinical history, sympto...
متن کاملAmerican College of Radiology
ACR Appropriateness Criteria 1 Acute Onset Flank Pain — Suspicion of Stone Disease American College of Radiology ACR Appropriateness Criteria Clinical Condition: Acute Onset Flank Pain — Suspicion of Stone Disease Variant 1: Suspicion of stone disease. Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis without contrast 8 Reduced-dose techniques preferred. ☢☢☢☢ US kidneys and bladde...
متن کاملPatient-Friendly Summary of the ACR Appropriateness Criteria Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis).
متن کامل
ACR appropriateness criteria right upper quadrant pain.
Acute right upper quadrant pain is a common presenting symptom in patients with acute cholecystitis. When acute cholecystitis is suspected in patients with right upper quadrant pain, in most clinical scenarios, the initial imaging modality of choice is ultrasound. Although cholescintigraphy has been shown to have slightly higher sensitivity and specificity for diagnosis, ultrasound is preferred...
متن کاملImaging of Mesenteric Ischemia
ACR Appropriateness Criteria 1 Imaging of Mesenteric Ischemia American College of Radiology ACR Appropriateness Criteria Clinical Condition: Imaging of Mesenteric Ischemia Variant 1: Acute mesenteric ischemia. Radiologic Procedure Rating Comments RRL* CTA abdomen with IV contrast 9 Fast noninvasive study that also evaluates other causes of abdominal pain. ☢ ☢ ☢ Arteriography abdomen 8 Allows di...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Ultrasound quarterly
دوره 27 3 شماره
صفحات -
تاریخ انتشار 2011