Motta RGA, Uscanga CMC

Language: Spanish
References: 18
Page: 409-416
PDF size: 173.51 Kb.

ABSTRACT

The extraordinary scientific progress of the medicine in the last decades should not decrease the human and traditional sense of the physicians. The physical exploration of the patient represents the milestone in the clinical diagnosis. However today, CT and US supported by represent unique help that allows the physician to get more specific information and sensibility than a common physical exploration. This is the case of Murphy’s signal, McBurney’s point and Giordano’s signal. Today CT and US is widely used to evaluate this kind of clinical problems.

REFERENCES

1. Salvatore Mangione. Abdomen. En el libro: Salvatore Mangione. Secretos del diagnóstico físico. Edit. McGraw Hill Interamericana, 1era. Edición, 2000; 380, 390-392,417, 483.

2. Surós-Batlló A. Aparato digestivo y urinario. En el libro: Surós-Batlló J, Surós-Batlló A. Semiología médica y técnica exploratoria. Edit. Masson, 7ma. Edición, 1987; 439, 497, 541|.

3. Shrestha R, Everson GT. Enfermedades de la Vesícula biliar. En el libro: McNally PR. Secretos de la Gastroenterología. Edit. McGraw Hill Interamericana, 1era. Edición, 1998; 271.

4. Kimura-Fujikami K, Kimura-Fujikami Y, Stoopen ME. Colecistitis aguda. Rev Mex Radiol 1991; 45:181– 186.

5. Ralls PW, Colletti PM, Lapin SA et al. Real-time sonography in suspected acute cholecystitis. Radiology 1985; 155:767 – 771.

6. Laing FC. The gallbladder and bile ducts. En el libro: Rumack CM, Wilson SR y Charboneau JW. Diagnostic Ultrasound, vol. 1. 2da. Edición, St. Louis, Missouri: Edit. Mosby , 1998;189.

7. Huston KC. Apendicitis. En el libro: Markovchick VJ, Pons PT. Secretos de la Medicina de Urgencias. Edit. McGraw Hill Interamericana, 2da. Edición, 2000;167-168, 171, 185-187

8. Cohan RH, Mahony BS, Bowie JD, et al. Striated intramural gallbladder lucencies on US studies: Predictors of acute cholecystitis. Radiology 1987; 164: 31 – 35.

9. Teefey SA, Baon RL, Bigler SA. Sonography of the gallbladder: Significance of striated (layered) thickening of the gallbladder wall. AJR 1991; 156: 945 – 947.

10. Mirvis SE, Vainright JR, Nelson AW. The diagnosis of acute acalculous cholecystitis: A comparison of sonography, scintigraphy and CT. AJR 1986; 147: 1171–1175.

11. Puylaert JBCM. Acute appendicitis: Ultrasound evaluation using graded compression. Radiology 1986; 158: 355 – 360.

12. Wilson SR. The gastrointestinal tract. En el libro: Rumack CM, Wilson SR y Charboneau JW. Diagnostic Ultrasound, vol. 1. 2da. Edición, St. Louis, Missouri: Edit. Mosby 1998; 283-286; 304-306.

13. Chesbrough RM, Burkhard TK, Balsara ZN et al. Self-localization in US of appendicitis: An addition to graded compression. Radiology 1993; 187:349 – 351.

14. Jeffrey RB, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology 1988; 67: 327 – 329.

15. Abramson S, Walders N, Applegate KE, et al. Impact in the emergency department of unenhanced CT on diagnostic confidence and therapeutic eficacy in patients with suspected renal colic: A prospective survey. AJR 2000; 175: 1689 – 1695.

16. Sommer FG, Jeffrey RB, Rubin GD et al. Detection of ureteral calculi in patients with suspected renal colic: Value of reformatted noncontrast helical CT. AJR 1995; 165: 509 – 513.

17. Smith RC, Rosenfield AT, Choe KA et al. Acute flank pain: Comparison of non-contrastenhanced CT and intravenous urography. Radiology 1995; 194: 789–794.

18. Erwin BC, Carroll BA, Sommer FG. Renal colic: The role of ultrasound in initial evaluation. Radiology 1984; 152: 147 – 150.