How to order

[piol]

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Hello every one. I am a first year med student and would like to know how to order the following:

1. Chest X-ray/CT/MRI
2. Abdominal X-ray/CT/MRI
3. Spine X-ray/CT/MRI
4. Head CT/MRI
5. Extremity X-ray/CT/MRI
6. Pelvis X-ray/CT/MRI
7. Abdominal US

_ Is there a standerd for each modality and location or we have to indicate the type of view/s in our order as CXR(PA,Lateral view)
- How about type of contrast if we order with contrast? do we need to indicate that too?
- In abdominal US, do we need to be organ specific or just abdominal US?

I was also wondering any radiology text you recomend to study these stuff

Thank you so verymuch a head of time for your help

 

[theOne3]

Hello every one. I am a first year med student and would like to know how to order the following:

1. Chest X-ray/CT/MRI
2. Abdominal X-ray/CT/MRI
3. Spine X-ray/CT/MRI
4. Head CT/MRI
5. Extremity X-ray/CT/MRI
6. Pelvis X-ray/CT/MRI
7. Abdominal US

_ Is there a standerd for each modality and location or we have to indicate the type of view/s in our order as CXR(PA,Lateral view)
- How about type of contrast if we order with contrast? do we need to indicate that too?
- In abdominal US, do we need to be organ specific or just abdominal US?

I was also wondering any radiology text you recomend to study these stuff

Thank you so verymuch a head of time for your help

That's a lot of different combinations, requiring a very long answer to address them all. Plus, in many cases the exam is tailored to the specific clinical situation. Most places have one or more radiology order forms where you can just check which study you want. The key is then to provide a useful, comprehensive clinical history so the radiologist and/or technologist can properly protocol the exam or suggest an alternate exam if appropriate.

 

[fun8stuff]

Hello every one. I am a first year med student and would like to know how to order the following:

1. Chest X-ray/CT/MRI
2. Abdominal X-ray/CT/MRI
3. Spine X-ray/CT/MRI
4. Head CT/MRI
5. Extremity X-ray/CT/MRI
6. Pelvis X-ray/CT/MRI
7. Abdominal US

_ Is there a standerd for each modality and location or we have to indicate the type of view/s in our order as CXR(PA,Lateral view)
- How about type of contrast if we order with contrast? do we need to indicate that too?
- In abdominal US, do we need to be organ specific or just abdominal US?

I was also wondering any radiology text you recomend to study these stuff

Thank you so verymuch a head of time for your help

lol, ms1

 

[Zweihander]

Hello every one. I am a first year med student and would like to know how to order the following:

1. Chest X-ray/CT/MRI
2. Abdominal X-ray/CT/MRI
3. Spine X-ray/CT/MRI
4. Head CT/MRI
5. Extremity X-ray/CT/MRI
6. Pelvis X-ray/CT/MRI
7. Abdominal US

_ Is there a standerd for each modality and location or we have to indicate the type of view/s in our order as CXR(PA,Lateral view)
- How about type of contrast if we order with contrast? do we need to indicate that too?
- In abdominal US, do we need to be organ specific or just abdominal US?

I was also wondering any radiology text you recomend to study these stuff

Thank you so verymuch a head of time for your help

Yeah, this question is so vague that I think it would be hard for anyone to give you a useful answer.

You're better off asking, as was said above, how to order a given test to address a specific clinical question. For instance, if you were to ask: "How do I order a head CT to evaluate a patient with a suspected stroke?" the answer would be to get a "routine" non-contrast study. You might want to give contrast if you suspected a brain mass, or skip the CT altogether and go straight for an MRI, and so forth.

 

[piol]

Hi all. Sorry for my questions.

Just to make my question clear

1. For routine abdominal and chest X-ray order, do I need to indicate the view as: chest X-ray-PA, Lat, Abdominal X-ray-Supine, Upright view or just chest-X-ray. I am thinking that these views are standard.

2. For spine- If I need only for lumbar spine, can I order separately as lumbar spine X-ray or I hve to order the whole spine?
3. What view/s should I order to screen common fractures in(only the standard one )

Pelvise-
Shoulder-
Knee-
Elbow-
Wrist or hand-
Ankle-

 

[Labslave]

Hi all. Sorry for my questions.

Just to make my question clear

1. For routine abdominal and chest X-ray order, do I need to indicate the view as: chest X-ray-PA, Lat, Abdominal X-ray-Supine, Upright view or just chest-X-ray. I am thinking that these views are standard.

2. For spine- If I need only for lumbar spine, can I order separately as lumbar spine X-ray or I hve to order the whole spine?

3. What view/s should I order to screen common fractures in(only the standard one )

Pelvise-
Shoulder-
Knee-
Elbow-
Wrist or hand-
Ankle-

Just out of curiosity, why on earth would you need to know this as an M1? As mentioned earlier in the thread, when this actually becomes relevant to you, it's more important to be communicate a clear clinical history so that you end up ordering the appropriate exam.

 

[DrGregoryHouse]

The RSNA has a set of appropriateness criteria based on different clinical situations. If you quote the appropriateness criteria to your attending you'll look like a rockstar or a know-it-all depending on your/his personality.

http://www.acr.org/ac

 

[Zweihander]

Hi all. Sorry for my questions.

Just to make my question clear

1. For routine abdominal and chest X-ray order, do I need to indicate the view as: chest X-ray-PA, Lat, Abdominal X-ray-Supine, Upright view or just chest-X-ray. I am thinking that these views are standard.

2. For spine- If I need only for lumbar spine, can I order separately as lumbar spine X-ray or I hve to order the whole spine?
3. What view/s should I order to screen common fractures in(only the standard one )

Pelvise-
Shoulder-
Knee-
Elbow-
Wrist or hand-
Ankle-

You don't have to order specific views for most of these -- x-ray techs have protocols for how to get their images. Just give the appropriate history. As mentioned above, most institutions have some kind of ordering form which will lay out your most common options for you.

Generally, for fractures you need at least two views in orthogonal planes -- frontal and lateral, often with obliques thrown in for good measure.

A "routine chest" is a pa and lateral, and this is what should be ordered for the average patient if possible. However, as already noted the clincial history is important. There are other potential views you might get (such as an expiratory film if you want to evaluate for pneumothorax), so if you're not sure ask the radiologist.

As for abdominal x-rays, again it depends on why you're getting them. Many times people just get a single frontal supine "KUB," but you can throw in all sorts of additional views depending on what you want to see.