Page 123 - Registrar Orientation Manual 2016

Reference:
1257
Effective date:
7 July 2015
Expiry date:
6 July 2018
Page:
6 of 35
Title:
Imaging Guidelines
Type:
Clinical Guideline
Version:
02
Authorising initials:
Local Guidelines
Local guidelines have been agreed for imaging the following common conditions or indications:
• Cholecystitis
• LIF Pain
• RIF Pain
Click here
As this shows there are further pathways based on the site of pain (for example: RIF, LIF, RUQ, Loin) and/or the likely cause (Cholecystitis, Renal Colic, Pyelonephritis, Pancreatitis).
Click on the hyperlinks to access the appropriate pathway and guideline recommendations.
• Pyelonephritis • Renal Colic
• Pancreatitis
Acute Abdominal Pain
Clinical history, examination, blood tests and bed side tests
Acute right upper quadrant/ biliary pain
Acute flank/ loin pain
Acute right iliac fossa/ pelvic pain
Suspected bowel obstruction
Acute left iliac fossa/ pelvic pain
Acute severe undifferentiated or generalised pain
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Click here
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Renal colic
Acute pyelonephritis
Acute pancreatitis
Perforation or other
Unstable patient
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Click here
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Erect CXR +/- AXR
Bedside USS (Emergency Physician)
Stabilise patient
Consider CT abdomen
CT abdomen
Positive for intra-peritoneal blood or leaking AAA
Negative
Consider surgery
Look for other causes/surgical consult
Stabilise patient
CT abdomen