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conferenceseries
.com
Volume 6, Issue 4(Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Medical Imaging and Clinical Research 2017
September 11-12, 2017
September 11-12, 2017 | Paris, France
2
nd
World Congress on
Medical Imaging and Clinical Research
for each cycle (Nov/December 2016 to March and April2017) to assess the compliance with the I-refer/RCR guidelines and also to
optimise the film quality and the adequacy. The 60 consecutive abdominal X-rays requested in the emergency department where
looked at their indication, radiology report, request form adequacy, radiograph quality and the clinical question need to be answered.
The patient’s information was obtained via using radiology information system for radiology reports/requests form and emergency
department admission case cards.
Discussion and recommendations of the audit:
It was noted that during the first the study, some abdominal radiographs were
requested inappropriately for the following conditions, constipation, hemorrhoid, PR bleed, Upper GI bleed, ascites, bladder
symptoms and UTIs, scrotal pain, appendicitis, gastroenteritis and acute cholecystitis, however majority of the films were requested
by the most junior doctors particularly those who had recently completed a surgical placement. The junior doctors who newly started
emergency medicine placement were educated and advised always not to hesitate to ask for senior opinion regarding requesting
abdominal films when not sure whether or not indicated, also the majority of cases where bowels obstruction suspected have not had
direct rectal examination performed as part for the NICE guideline for patients presenting with abdomenal pain.
Conclusion:
Abdominal radiograph is of high radiation dose and usually has low diagnostic value in the majority of the cases, direct
rectal examination is good practice and part of the recommended NICE guideline in the context of abdominal pain and bowel
obstruction. Abdominal X-rays are not indicated for non-specific abdominal pain.
Biography
Amjed Eljaili, MBBS, October 2010, University of Al-Zaiem Al-Azhari, Sudan, currently practicing in UK, Ysbyty Gwynedd, BCUHB, Intensive care unit, Surgical
department Dr Eljaili has attended several academic meetings regionally and nationally also he has participated in various national work-shops, congress.
participation and membership with British institute of Radiology, United Kingdom.
amjed.eljaili13@hotmail.com