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Home Vomiting in Infants
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, poor feeding, initial imaging 3191958
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vomiting, no meconium passage, initial imaging 3191959
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, proximal bowel obstruction or atresia suspected on radiography, next imaging study 3185448
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, distal bowel obstruction on radiography, next imaging study 3185449
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, bilious, few distended bowel loops on radiography, next imaging study 3191961
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vomiting, bilious, nonclassic double bubble with gas in distal bowel on radiography, next imaging study 3191960
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vomiting, bilious, normal bowel gas pattern on radiography, next imaging study 3191962
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, bilious, malrotation suspected, initial imaging 3185451
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
(Disagreement)
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, nonbilious, uncomplicated esophageal reflux suspected, initial imaging 3074078
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vomiting, nonbilious, new onset, hypertrophic pyloric stenosis suspected, initial imaging 3074079
US abdomen (UGI tract)
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Fluoroscopy contrast enema
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Nuclear medicine gastroesophageal reflux scan

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
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