There are situations in which the ordered exam might not be the best choice. Fac

There are situations in which the ordered exam might not be the best choice. Faced with one of these situations, are you able to determine the proper course of action?
Read the scenarios below and select ONE to post about.
Scenario 1: A 75-year-old patient enters the ER with back pain that he has experienced for the last three years. The ER physician orders a CT chest, abdomen, and pelvis to evaluate for aortic dissection.
Scenario 2: A 60-year old patient enters the ER with acute epigastric pain. The ER physician orders a CT abdomen and pelvis to evaluate for cholecystitis.
Scenario 3: A 40-year old patient enters the ER with abdominal pain. A CT abdomen and pelvis is ordered to rule out an obstruction. The patient tells the technologist that she has had 20 CT scans so far over the past year for abdominal pain.
In your first post:
Identify your chosen scenario and describe the problem occurring with imaging the adult patient.
Explain why you advise for or against the chosen procedure. Include a discussion of relevant pathology, anatomy, safety considerations, and other factors that impact your decision.
Describe the radiologic technologist’s ethical responsibility in adhering to the safety principles documented in the Image Wisely campaign. Reference information from the Image Wisely website: https://www.imagewisely.org/
If you have had a clinical experience in which the exam ordered wasn’t appropriate with regard to anatomy demonstrated and/or safety considerations, describe the situation, what you did, and how it turned out.

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