ACR AC Portal

Home Suspected Physical Abuse-Child

Variants

Child. 24 months of age or younger. Concern for physical abuse based on clinical presentation or history. Neurological, skeletal, or visceral injuries not clinically apparent. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Physical abuse suspected, concern for hand injury based on clinical presentation or hx, no apparent neurological or skeletal or visceral injuries, initial imaging

3199731

Radiography skeletal survey

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

CT head without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Radiography hand

<0.1 mSv
☢

May be appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US abdomen

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US abdomen with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US head

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI head without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRV head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT abdomen and pelvis with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT abdomen and pelvis without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT head with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT head without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT abdomen and pelvis without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate