Learning in the Dark

 In this episode we discuss Pulmonary Embolisms (PE) in relation to the 4 D's of radiology: Detect, Describe, Differential and Decision. Join us as we take a deep dive into the world of PE and uncover clinical signs, symptoms and approaches used in a typical case. 

 For more information visit our website at learninginthedark.com 

Hey Everyone, we're back! This time with a miniseries episode featuring Dr. Emil Lee.  Dr. Lee is a Diagnostic and Interventional Radiologist located in the Fraser Valley.  His organized, kind and approachable demeanor is evident in his extensive leadership endeavors. These have spanned through both the local and international levels, including being the prior president of the Canadian Association of Radiology.  Listen as he explores getting engaged with  leadership  opportunities in radiology!

Check out more on our website: https://www.learninginthedark.com/

Sponsored by the Canadian Association of Radiology - Resident and Fellow Section

Hey Everyone!
We're back with another episode. This time James and Rebecca embark on a journey through the world of Pancreatitis, as always, formatting through the classic 4 D's of radiology: Detect, Describe, Differential, and Decision. So sit back, relax, and enjoy the wild radiology ride!

For more information including show notes and example cases, check out our website at learninginthedark.com

Brought to you by the Canadian Association of Radiology (CAR)

Hey Everyone! Welcome to our new miniseries of Learning in the Dark. In this series we will be looking at experts throughout the field of radiology, and getting their approach to various cases. The week we are joined by Dr. Bruce Forster, professor and former head of the University of British Columbia Department of Radiology. Join us on this wild radiology ride as Dr. Forster discusses a typical case of MSK of the wrist.

Website: learninginthedark.com

In this episode we discuss acute aortic syndrome. Journey with us through the classic 4 D's of radiology: Detect, Describe, Differential and Decision. To see examples, show notes, and additional information, visit our website learninginthedark.com

In this episode we discuss ovarian torsion. Listen in as we talk about common cases, signs and symptoms of ovarian torsion in relation to the 4 D's of radiology.

To see examples, show notes, and additional information, visit our website learninginthedark.com

In this episode we discuss cholecystitis in relation to the 4 D's of radiology: Detect, Describe, Differential and Decision. Join us as we take a deep dive into the world of chole and uncover clinical signs, symptoms and approaches used in a typical case…

In this episode we discuss ectopic pregnancies in relation to the 4 D's of radiology: Detect, Describe, Differential and Decision. Join us as we take a deep dive into the world of ectopic pregnancies and uncover clinical signs, symptoms and approaches used in a typical case.

For the complete show notes and CT scans visit our website at learninginthedark.com
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In this episode we take you on a journey through the world of small bowel obstructions. Join us in discovering the 4 D's of Radiology of SBOs...

(For the full show notes and more information please visit learninginthedark.com)

Detect:

Symptoms - Colicky abdominal pain, distension, nausea and vomiting, constipation, inability to pass gas. 

Signs - High pitched, tinkling or absent bowel sounds

Often non specific

Describe:

Hallmark- Obstruction leading to dilation upstream and decompression downstream

Warning Signs-

1. Complete: nothing getting past 
2. Incomplete or Partial: some air and fluid post  
3. Closed Loop: Obstructed bowel at 2 points along the GI tract 
4. Strangulated obstruction 

 Differential:
Differential goes back to our common causes so break it down into intrinsic, extrinsic or intraluminal

Decision:
Conservative: NG decompression, bowel rest

Surgical: Resection indicated in high grade obstruction, bowel ischemia, failure to improve with conservative management 

Both clinical and radiological presentations can predict the need for surgical intervention 

• Clinical Predictors: 

1. Clinical signs of intestinal ischemia: abdominal pain worse despite conservative management, SIRS, Peritonitis, Metabolic Acidosis 
2. Failure of conservative management

• CT Indications for surgical management 
• Predictors of poor CT outcomes: 1.) Intraperitoneal free fluid 2.) Free intra-abdominal gas 3.) Duodenal distension 4.) High grade obstruction 5.) Signs of intestinal ischemia 6.) Closed Loop Obstruction 
• Surgical Correctable causes of SBO: 1.) Volvulus 2.) Incarcerated Hernia 3.) Closed Loop Obstruction 4.) Small Bowel Tumour 5.) gallstone ileus 6.) Foreign body ingestion
• Signs of small bowel obstruction with equivocal outcomes in regard to conservative vs. surgical intervention: Mesenteric congestion, presence of a transition point, small bowel feces sign

Produced By Mike Spouge