Jagan Dewan Gupta, Author at Clinical Advisor

Jagan Dewan Gupta

All articles by Jagan Dewan Gupta

Ectopic Pregnancy

Preliminary Diagnosis: Ectopic Pregnancy I. What imaging technique is first-line for this diagnosis? The first line imaging modality is a Gray Scale and Color Doppler sonographic evaluation of the pelvis (transvaginal and/or transabdominal). II. Describe the advantages and disadvantages of this technique for diagnosing ectopic pregnancy. Advantages Sonographic imaging does not expose patients to ionizing…

Testicular Cancer

Preliminary Diagnosis: Testicular Cancer I. What imaging technique is first-line for this diagnosis? Ultrasound of the scrotum and bilateral testicles. II. Describe the advantages and disadvantages of this technique for diagnosing testicular cancer. Advantages Highly portable and does not expose patients to ionizing radiation. Details the velocity and direction of vascular flow. May help guide…

Prostate Cancer

Preliminary Diagnosis: Prostate Cancer I. What imaging technique is first-line for this diagnosis? Prostatic ultrasound. II. Describe the advantages and disadvantages of this technique for diagnosing prostate cancer. Advantages Moderately sensitive and specific in detecting, detailing, and characterizing prostate abnormalities, such as cancer. May help guide biopsy. Highly specific in characterizing the vascularity of a…

Appendicitis

Preliminary Diagnosis: Appendicitis I. What imaging technique is first-line for this diagnosis? CT scan of the abdomen and pelvis with IV and without oral contrast II. Describe the advantages and disadvantages of this technique for diagnosis of appendicitis. Advantages CT scanning is diagnostic for appendicitis and can detail any secondary complications such as periappendiceal abscesses,…

Mastoiditis

Preliminary Diagnosis: Mastoiditis I. What imaging technique is first-line for this diagnosis CT of the brain without contrast. CT Temporal Bone without contrast may additionally be performed for more coned down views of the mastoid air cells and associated temporal bone structures. II. Describe the advantages and disadvantages of this technique for diagnosis of mastoiditis.…

Sinusitis

Preliminary Diagnosis: Sinusitis I. What imaging technique is first-line for this diagnosis? CT sinuses with and without contrast with coronal and sagittal reconstructions. II. Describe the advantages and disadvantages of this technique for diagnosing sinusitis. Advantages Relatively inexpensive and fast imaging modality. Evaluates the adjacent osseous structures for underlying erosion and can date the chronicity…

Peritonsillar abscess

Preliminary Diagnosis: Peritonsillar abscess I. What imaging technique is first-line for this diagnosis? CT soft tissue neck with contrast II. Describe the advantages and disadvantages of this technique for diagnosis of peritonsillar abscess. Advantages Relatively inexpensive, fast imaging modality. Able to differentiate neck pathology from adjacent vascular structures, lymph nodes, and osseous structures with great…

Renal Cell Carcinoma

Preliminary Diagnosis: Renal Cell Carcinoma I. What imaging technique is first-line for this diagnosis? Gray scale and Color Doppler sonographic evaluation of the kidneys. II. Describe the advantages and disadvantages of this technique for diagnosing renal cell carcinoma. Advantages Highly portable and a relatively inexpensive imaging modality. Does not expose patients to ionizing radiation. Details…

Epididymitis

Preliminary Diagnosis: Epididymitis I. What imaging technique is first-line for this diagnosis? Gray Scale and Color Doppler sonographic evaluation of the bilateral testicles and epididymi. II. Describe the advantages and disadvantages of this technique for diagnosing epididymitis. Advantages Offers great portability. Does not expose the patient to ionizing radiation. Very quick to perform. Able to…

Pelvic Inflammatory Disease

Preliminary Diagnosis: Pelvic Inflammatory Disease I. What imaging technique is first-line for this diagnosis? Ultrasound of the pelvis. (Transvaginal approach offers more exquisite imaging compared to a transabdominal approach.) II. Describe the advantages and disadvantages of this technique for diagnosing pelvic inflammatory disease. Advantages Highly portable imaging modality. Does not expose patients to ionizing radiation.…

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