UCSD Musculoskeletal Radiology bonepit.com Critical results When to call
|
Anatomical
Area |
Red Category
Conditions* |
|
Complete
Alert within 1 hour |
CNS |
Cerebral
hemorrhage/hematoma |
Brain tumor
(mass effect) |
|
Acute stroke |
|
Acute
obstructive hydrocephalus |
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Depressed
skull fracture |
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Cervical
spine fracture |
|
Spinal cord
compression |
|
Orbital
injury |
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Cerebral
aneurysm |
|
Neck |
Epiglotitis |
Carotid
artery dissection |
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Paratracheal
abscess |
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Breast |
Breast
abscess |
Chest |
Tension
pneumothorax |
New
pneumothorax |
|
Aortic
dissection (new or changed) |
|
Pulmonary
embolism |
|
Ruptured
aneursym or impending rupture |
|
Mediatstinal
emphysema |
|
New pneumonia |
|
New evidence
of TB |
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Abdomen |
Free Air in
abdomen (if no recent surgeries within seven days) |
Ischemic
bowel |
|
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Portal venous
air |
|
Volvulus |
|
Traumatic
visceral injury |
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Retroperitoneal hemorrhage, new or active bleding |
|
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Aortic
aneurysm, leaking |
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Hemoperitoneum, new and unexpected |
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Uro-genital |
Ectopic
pregnancy |
Placental
abruption (2nd and 3rd trimester) |
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Testicular or
ovarian Torsion |
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Vascular |
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Bone |
Any new
spinal fracture involving mechanical or neurological stability |
|
Suspected
septic arthritis or osteomyelitis
|
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Any new
spinal tumor affecting mechanical or neurological stability |
|
New Joint
dislocation |
General |
Significant
Line/ or Tube misplacement (e.g. feeding tube in airway) |
Any
significant test re-read, resulting in a different diagnostic impression |
|
Unexpected
abscess |
|
Nuclear
Medicine |
Liver
function study with HIDA agents, showing "acute cholecystitis" or "bile
leak" |
|
Acute
gastrointestinal blood loss imaging |
|
Pulmonary
perfusion imaging with aerosol ventilation imaging |
|
Brain imaging
vascular flow (for brain death) |
|
Kidney
imaging with vascular flow and function (Renal Transplant Evaluation)- with
acute abnormality |
|
Testicular
imaging with vascular flow- with acute abnormality |