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Home Right Upper Quadrant Pain

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

RUQ pain, etiology unknown, initial imaging

3195876

US abdomen

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

Radiography abdomen

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate
(Disagreement)

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

Usually not appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

RUQ pain, biliary disease suspected, initial imaging

3195877

US abdomen

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

May be appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

RUQ pain, no fever, no high WBC count, biliary disease suspected, US negative, next imaging study

3195878

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

RUQ pain, no fever, no high WBC count, biliary disease suspected, US equivocal, next imaging study

3195879

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

RUQ pain, fever, high WBC count , biliary disease suspected, US equivocal, next imaging study

3195881

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

Usually appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

RUQ pain, fever, high WBC count , biliary disease suspected, US negative, next imaging study

3195880

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

Usually appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

RUQ pain, acalculous cholecystitis suspected, US negative, next imaging study

3195882

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

Usually appropriate

Image-guided cholecystostomy

Varies

May be appropriate

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

RUQ pain, acalculous cholecystitis suspected, US equivocal, next imaging study

3195883

Nuclear medicine scan gallbladder

0.1-1mSv
☢☢

Usually appropriate

Image-guided cholecystostomy

Varies

May be appropriate

MRI abdomen without and with IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen without IV contrast with MRCP

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate