<strong>Study</strong> <strong>Guide</strong> – Radiology – Faculty of Medicine - IV th Year 32Within hours of practical work students will be presented archive images on the issues presentedin the course.Students will be able, at the end of the course and practical work, to recognize the imagingtechniques used for diagnosis, recognize and describe semiologically the main pathological entities,indicate and follow the proper algorithm of investigation.Sample questions for the written exam of radiology:The examination of choice for retroperitoneal lymphadenopathy location is:a. Native MR;b. CT with contrast;c. Endocavitary ultrasound;d. Contrast enhanced MR;e. Transabdominal ultrasoundCorrect answer: bThe ultrasound appearance of bladder slime (sludge) is:a. Hypoechoic magma with liquid-liquid horizontal level, that changes its position while stirringthe patientb. Hyperechoic magma, which remains unchanged while stirring the patientc. Hypoechoic magma with constant bladder positiond. Hypoechoic magma with vertical liquid-liquid level, which changes its position while stirringthe patiente. Hyperechoic magma with hyperechoic liquid-liquid horizontal levelCorrect answer: a
<strong>Study</strong> <strong>Guide</strong> – Radiology – Faculty of Medicine - IV th Year 33TOPIC 13. IMAGING IN MEDICAL AND SURGICALEMERGENCYMedical and surgical emergencies are represented by a number of diseases and conditions involvingpractically all organs and systems. Their treatment requires a correct diagnosis in which imaging isextremely important. For a proper diagnosis is necessary to know the imaging examination methods,indications and limitations of each method separately and imaging appearance of various diseases.The student should know:Imaging issues in emergencies:Cranio-cerebral trauma: radiological examination, conventional CT examination, otherdiagnostic techniques (magnetic resonance, skull ultrasound, medicine nuclear, angiography) -indications, technique, positive and differential diagnosiso Fractures of the skull and face boneso Diffuse axonal lesiono Epidural hemorrhage,o Subdural Haemorrhageo Arachnoid Haemorrhageo Intraparenchymal Haemorrhageo Subdural HygromaImaging aspects of the spine in traumatic emergencies: Conventional radiologicalexamination, CT and MRI exams - indications, technique, positive and differential diagnosiso Spine fractureso The types of nervous involvementImaging of non - traumatic emergencies of the spine: radiological examination, CT andMRI exams - indications, technique, positive and differential diagnosiso Osteomyelitiso Discitiso Herniated discImaging in traumatic abdominal emergencies: Conventional radiological examination,imaging (ultrasound, CT and angiography) - indications, technique, positive and differential diagnosiso Pneumoperitoneumo Haemoperitoneumo Organ fractureImaging in non - traumatic abdominal emergencies: Conventional radiological examination,imaging (ultrasound, CT and angiography) - indications, technique, positive and differential diagnosiso Pneumoperitoneum / hydropneumoperitoneumo Ileuso Biliary colico Renal colicIn the practical works, the student will be presented the following:o Radiological appearance of fractures of the skull and facial boneso The appearance of intracranial bleeding on CT and MR – epidural, subdural, arachnoid,intraparenchymal bleedingo Radiological appearance of spine fractureso CT and RM appearance of spinal epidural hematoma, medullary compression and spinalsectiono Radiological appearance of vertebral osteomyelitiso Radiological and imaging appearance of discitiso Radiological and MR appearance of disc herniao Radiological and CT appearance of pneumoperitoneumo Radiological and CT appearance of intestinal occlusiono Imaging appearance of organ fractureso Radiology, CT and ultrasound in biliary colic