Daniel Geiger

Preliminary Diagnosis: Cystitis (Bacterial) I. What imaging technique is first-line for this diagnosis? Bacterial cystitis is usually diagnosed clinically (anamnesis, signs/symptoms, chemical testing, and urine culture), but imaging has a role in cases of recurrent infections or complications. Ultrasound (eventually extended to kidneys and the collecting system) is the first line imaging study of choice.…

Preliminary Diagnosis: Pyelonephritis (Acute) I. What imaging technique is first-line for this diagnosis? Pre- and post-contrast CT (Uro-CT) is the first line imaging study of choice in complicated patients. Imaging adds little to the clinical management if the patient responds to therapy within 72 hours. Best if used in complicated patients, (e.g., those with diabetes…

Preliminary Diagnosis: Primary Sclerosing Cholangitis (PSC) I. What imaging technique is first-line for this diagnosis? Endoscopic retrograde cholangiopancreatography (ERCP) is the first line imaging modality for biliary tree assessment in primary sclerosing cholangitis (PSC). II. Describe the advantages and disadvantages of this technique for diagnosing primary sclerosing cholangitis (PSC). Advantages Exquisite evaluation of the intrahepatic…

Preliminary Diagnosis: Hepatitis I. What imaging technique is first-line for this diagnosis Ultrasound (US) II. Describe the advantages and disadvantages of this technique for diagnosis of hepatitis. Advantages Real-time examination Does not use ionizing radiation Relatively inexpensive Disadvantages No specific findings in acute hepatitisRelated Content Findings are variable depending on the different etiologic factors that…