By Thomas L Pope Jr. MD
Completely revised and up-to-date, the fourth variation of Aunt Minnie's Atlas and Imaging-Specific analysis is an exceptional learn instrument for radiology board examinations.
This vintage textbook is split into all radiology subspecialties written via specialists of their educational fields and contain pictures, heritage, findings, prognosis, and dialogue. "Aunt Minnie's Pearls" on the finish of every case aid toughen the foremost beneficial properties and supply a short evaluation of significant salient points.
Perhaps the most important unmarried number of Aunt Minnie-like situations in anybody booklet, , it gains greater than 380 instances and over 1,000 photographs representing all modalities and subspecialties in diagnostic imaging.
- Addition of many new classic cases with up-to-date photographs and the addition of extra “advanced” imaging in lots of of the prevailing cases
- Online privileges let electronic net entry to the entire cases from the book
- "Aunt Minnie's Pearls" reinforce crucial features of each case
- Teaching file format familiar to readers
Read or Download Aunt Minnie's Atlas and Imaging-Specific Diagnosis PDF
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Extra info for Aunt Minnie's Atlas and Imaging-Specific Diagnosis
1) and comparative transverse views through both testes (Fig. 2) reveal the left testis to be enlarged, slightly heterogeneous, and diffusely hypoechoic in echotexture as compared to the right. There is also some thickening of the left epididymis as well. Color Doppler of the left testis (Fig. 3) reveals absence of intratesticular flow and a ring of increased flow in the capsule around the testicle. Diagnosis Testicular torsion with infarction Discussion Testicular torsion results from a twisting of the testis and spermatic cord, obstructing testicular blood flow and causing acute pain secondary to testicular ischemia and/or infarction.
Abdominal tenderness, fever, anorexia, and/or vomiting and leukocytosis are also present. Sonography is the initial imaging evaluation in children with ambiguous or equivocal clinical findings. Characteristic sonographic features include a non-compressible, blindly ending, tubular structure greater than 6 mm in diameter on longitudinal images. On transverse images, the inflamed appendix has a target appearance consisting of central luminal fluid, a hyperechoic mucosal/submucosal lining, and a hypoechoic muscular wall.
If torsion persists for more than 24 hours, however, rarely is a testis salvageable. Doppler sonography is considered the imaging modality of choice when clinical findings are equivocal or presentation is delayed. Early on, the testis may have few sonographic findings. With time and the development of testicular edema, the torsed testis enlarges and becomes hypoechoic. Additionally, there may be epididymal swelling and reactive hydrocele formation. More recently, a whirlpool sign of the twisted spermatic cord has been described (46).