TITLE

Abdominal Computed Tomography Scan in Pediatric Blunt Abdominal Trauma

AUTHOR(S)
Sievers, Eric M.; Murray, James A.
PUB. DATE
October 1999
SOURCE
American Surgeon;Oct1999, Vol. 65 Issue 10, p968
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The purpose of this study was to evaluate the role of abdominal CT scans in pediatric patients and correlate the findings with the clinical examination. A 2-year retrospective review of 88 patients with an abdominal CT scan after blunt trauma was performed. Seventy-two patients were identified with complete clinical examination data available. In its ability to predict the need for surgery, the CT scan had a sensitivity of 67 per cent and a negative predictive value of 98.7 per cent. The combination of the clinical examination and the CT scan findings did not miss any significant injuries. No patient with a soft, nontender abdomen and a negative CT scan required an abdominal operation. We conclude that the CT scan alone may miss clinically significant injuries. In blunt abdominal trauma in the pediatric population, the CT scan findings should be coupled with the clinical examination to ensure that no significant abdominal injuries are missed.
ACCESSION #
2351962

 

Related Articles

  • EXAMINATION FREQUENCY AND POPULATION DOSE FROM MEDICAL X-RAY EXAMINATIONS IN SUDAN IN 2010. Suliman, I. I.; Ibraheem, S. B.; Youssif, B. E.; Abdelgabar, M. I.; Gafar, R.; Elshiekh, E.; Ahmed, Nada A.; Sulieman, A. // Radiation Protection Dosimetry;Jul2015, Vol. 165 Issue 1-4, p141 

    This study was performed to estimate examination frequency and collective and per caput effective doses arising from medical X-ray procedures in Sudan, 2010. Information was collected from 30 hospitals performing radiography, computed tomography (CT), fluoroscopy and interventional radiology...

  • Heroes--and what it takes to be one. McMillan, Julia A. // Contemporary Pediatrics;Sep2001, Vol. 18 Issue 9, p9 

    Editorial. Comments on importance of role models in the field of pediatrics. Author's meeting with some of the best teachers she have ever known; Demonstration of details of physical examination with excitement and care.

  • Sense and sensibility: Approaching anemia in children. Abshire, Thomas C. // Contemporary Pediatrics;Sep2001, Vol. 18 Issue 9, p104 

    Presents an approach to determining the cause of a child's anemia. Focus on the aspects of history and physical examination; Reduction in red blood cells; Normal values for hemoglobin and mean corpuscular volume; Limited number of laboratory tests.

  • Human os penis. Ersay, Ahmet Resit; Alan, Cabir; Koçoğlu, Hasan // Central European Journal of Urology;Dec2010, Vol. 63 Issue 4, p203 

    This report presents a case of a 45-year-old male suffering from a rod-like mass at the base of his penis. He has been aware of its existence since puberty. Physical examination revealed a bone-hard, mobile, stick-like structure behind the corpus spongiosum in the median plane. A calcified...

  • Executive Physical.  // Time International (South Pacific Edition);1/22/2001, Issue 3, p62 

    Describes three noninvasive tests that have been added to routine health examinations for those who can pay the money. Technology known as electron-beam computed tomography in the full-body scan; Use of positron emission tomography scan, or PET scan; Promise of the low-dose CAT scan, which is...

  • A guide to early detection of scoliosis. Chin, Kingsley R.; Price, J. Scott; Zimbler, Seymour // Contemporary Pediatrics;Sep2001, Vol. 18 Issue 9, p77 

    Offers tips that pediatricians can use to perform an effective spinal examination. Recognition of pediatric spinal deformity; Systematic performance of physical examination; Radiographic assessment; Differential diagnosis of nonstructural curves.

  • PART 3: Body Organ and System Assessment: CHAPTER 14: Breasts and Axillae. Hogstel, Mildred O.; Curry, Linda Cox // Health Assessment Through the Life Span;2005, p186 

    Chapter 14 of the book "Health Assessment Through the Life Span" is presented. It discusses the physical and diagnostic assessment of the breast and axillae in adult, pediatrics and geriatrics adaptations. It outlines the steps in physical assessment. It also shows the normal and common findings...

  • PART 3: Body Organ and System Assessment: CHAPTER 16: Abdomen. Hogstel, Mildred O.; Curry, Linda Cox // Health Assessment Through the Life Span;2005, p210 

    Chapter 16 of the book "Health Assessment Through the Life Span" is presented. It discusses the physical and diagnostic assessment of the abdomen in adult, pediatrics and geriatric adaptations. It suggests the symptoms and risk factors associated with a disease of the abdomen. It also outlines...

  • PART 3: Body Organ and System Assessment: CHAPTER 17: Musculoskeletal System. Hogstel, Mildred O.; Curry, Linda Cox // Health Assessment Through the Life Span;2005, p226 

    Chapter 17 of the book "Health Assessment Through the Life Span" is presented. It tackles the physical and diagnostic assessment of the musculoskeletal system in adult, pediatrics and geriatric adaptations. It suggests the several symptoms associated with a disease of the musculoskeletal system....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics