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Diagnostic Tests and Clinical Procedures

Since quality of the diagnostic process largely determines quality of care, overcoming deficiencies in standards, methodology, and funding deserves high priority. This category summarises objectives of diagnostic testing and research, methodological challenges, and options for design of studies.

Oral Contrast for Abdominal CT: How Important Is It and How Long Does It Take?

Question
How important is oral contrast material to the accuracy of an abdominal computed tomography (CT), and how long does it really take to reach its intended target?

Joseph R. Lex Jr., MDResponse from Joseph R. Lex Jr., MD
Associate Professor, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania

Read more: Oral Contrast for Abdominal CT: How Important Is It and How Long Does It Take?

Diagnostic Methods to Treat Ear Pain in Primary Care Setting

News Author: Laurie Barclay, MD
CME Author: Laurie Barclay, MD
Otitis media and otitis externa are the most common causes of ear pain, according to the results of a review of diagnostic methods and causes published in the March 1 issue of American Family Physician.

Read more: Diagnostic Methods to Treat Ear Pain in Primary Care Setting

Quest Diagnostics Campaign Challenges Colorectal Cancer Screening Status Quo

'Do You Have the Guts?' aims to reach five million in five years
MADISON, N.J., March 31, 2008 /PRNewswire-FirstCall via COMTEX News Network/ -- Quest Diagnostics Incorporated (NYSE: DGX), the nation's leading provider of diagnostic testing information and services, today announced the launch of a novel campaign designed to help increase compliance with take-home colorectal screening tests. Titled "It's Time to Challenge Colon Cancer: Do You Have the Guts?," the campaign aims to break down barriers to compliance with fecal occult blood tests and increase screening with these convenient take-home screening tools. The goal of the new campaign is to have five million people complete their annual testing over the next five years.

Read more: Quest Diagnostics Campaign Challenges Colorectal Cancer Screening Status Quo

Reduce Wait Times

ImageOne of our primary goals as your workplace drug testing laboratory is to provide fast, convenient collection and testing options that fit into your donors' schedule. With that in mind, we are happy to announce that with our online collection scheduling system, collection visits can now be booked more quickly and easily than ever. Donors can locate the nearest Quest Diagnostics Patient Service Center (PSC), set up appointments and print location maps with ease, all from the convenience of their computer. With these reduced wait times donor satisfaction is sure to increase.

Read more: Reduce Wait Times

New Statement on Safety of MRI With CV Devices

News Author: Lisa Nainggolan
CME Author: Désirée Lie, MD, MSEd
The American Heart Association has published a scientific statement on the safety of magnetic resonance imaging (MRI) in patients with cardiovascular devices, which has also been endorsed by the American College of Cardiology, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance [1]. The document states that for most devices, if there is a good clinical indication for an MRI scan, then the benefits probably outweigh the risks.

Read more: New Statement on Safety of MRI With CV Devices

Sentinel laboratories in Abkhazia: Procedures

By Ramaz Mitaishvili
Glendale, CA
General
Sentinel laboratories should not inoculate specimens suspected of containing influenza A H5N1 virus into cell culture. Only laboratories capable of performing culture under BSL 3 conditions with enhancements should perform culture to evaluate a suspected influenza H5N1 case. If these criteria are met, and culture is performed, consultation with PCDCP and the state public health laboratory is recommended. The use of rapid antigen tests for influenza is increasing in laboratories, point of care locations, and in physicians’ offices. These tests are among the least reliable for diagnosis of influenza, and should not be used to rule out avian influenza in a suspect case, especially during the current pre-pandemic phase.

Read more: Sentinel laboratories in Abkhazia: Procedures

Allen Test

Image 1Palpate by three fingers radial artery (Image 1), than, on opposite site, the ulnar artery, which can’t be palpated, but we have to palpate area closest to ulnar artery.

Read more: Allen Test

Arterial Blood Collection

By Ramaz Mitaishvili 
Alternative names:
Arterial Blood Gas Analysis; ABG Sampling.
Outcome Goal:
Proper collection of arterial blood samples.
Arterial Blood Gas Test Definition
Blood is drawn anaerobically from a peripheral artery (Radial, Brachial, Ulnar, Femoral, Axillary, Posterior Tibial or Dorsalis Pedis) via a single percutaneous needle puncture, or from an indwelling arterial cannula or catheter for multiple sample.

Read more: Arterial Blood Collection

Practice guideline for the assessmet and treatment of patients with suicidal behaviors

BIBLIOGRAPHIC SOURCE(S)
American Psychiatric Association. Practice guideline for the assessment and treatment of patients with suicidal behaviors. Arlington (VA): American Psychiatric Association; 2003 Nov. 117 p. [846 references]
GUIDELINE STATUS
This is the current release of the guideline.
MAJOR RECOMMENDATIONS
Each recommendation is identified as falling into one of three categories of endorsement, indicated by a bracketed Roman numeral following the statement. The three categories represent varying levels of clinical confidence regarding the recommendation.

Read more: Practice guideline for the assessmet and treatment of patients with suicidal behaviors

Guideline for nurse in Coronary Heart Disease (CHD) Clinic

Dr. Ramaz MitaishviliBy Dr. Ramaz Mitaishvili

Definition of Coronary Heart Disease 
Coronary heart disease (CHD) is a narrowing of the small blood vessels that supply blood and oxygen to the heart. CHD is also called coronary artery disease.

Read more: Guideline for nurse in Coronary Heart Disease (CHD) Clinic

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