Description
Part 1: Recommend a type of diagnostic image, with or without contrast, for the following patients: 1) A patient with persistent lower back pain resistant to conservative interventions. 2) A 74-year-old male with dyspnea, productive green phlegm, fever and chills, and malaise. 3) A 48-year-old female who is 48-hours postoperative complaining of right-calf pain.
Part 2: 1) When are computed tomography (CT) scans indicated? 2) When are magnetic resonance imaging (MRIs) indicated? 3) What helps the FNP decided whether to use contrast or not when ordering a CT scan or MRI?
Explanation & Answer
Attached. Please let me know if you have any questions or need revisions.
1
Diagnostic Imaging
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Diagnostic Imaging
Part 1
The recommended imaging is the MRI scan for persistent lower back pain resistant to
conservative interventions. Compared to CT, MRI resolution is better regarding contrasting the
soft tissues. Also, it does not expose the patient to radiation. MRI is also sensitive to bone
marrow abnormalities (Wang et al., 2018). For A 74-year old male with dyspnea, malai...
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