Stefan Ploch

Preliminary Diagnosis: Direct Inguinal Hernia I. What imaging technique is first-line for this diagnosis? Ultrasound (Gray Scale and Doppler). II. Describe the advantages and disadvantages of this technique for diagnosing direct inguinal hernia. Advantages The operator can use positioning and dynamic maneuvers (Valsalva) to diagnose a hernia, to document motion in real time, alter its…

Preliminary Diagnosis: Hiatal Hernia I. What imaging technique is first-line for this diagnosis Fluoroscopic guided barium study (esophagram or upper GI) II. Describe the advantages and disadvantages of this technique for diagnosis of an hiatal hernia. Advantages Barium esophagram and upper GI tests are minimally invasive and generally well tolerated. Degree of hiatal hernia can…

Preliminary Diagnosis: Meckel's Diverticulum I. What imaging technique is first-line for this diagnosis Radiopharmaceutical technetium-99m pertechnetate II. Describe the advantages and disadvantages of this technique for diagnosis of Meckel's diverticulum. Advantages Meckel scan is a diagnostic evaluation with high specificity Disadvantages False negative results may be due to lack or minimal gastric mucosa in the…

Preliminary Diagnosis: Adrenal Hyperplasia I. What imaging technique is first-line for this diagnosis? CT scanning without intravenous contrast and without oral contrast II. Describe the advantages and disadvantages of this technique for diagnosis of adrenal hyperplasia. Advantages CT scan without contrast is able to visualize adrenal hyperplasia. CT scans are relatively quick imaging procedures that…