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Appendix C

StudyCritical Finding
Angiography, Various Sites (Abdomen)Abscess; aneurysm
Angiography, Various Sites (Adrenal glands)Adrenal disease
Angiography, Various Sites (Carotid artery)Stroke
Angiography, Various Sites (Lungs)Pulmonary embolism
Cardiac CatheterizationAneurysm; aortic dissection
Chest X-RayForeign body; malposition of tube, line, or postoperative device (pacemaker); pneumonia; pneumoperitoneum; pneumothorax; spine fracture
Computed Tomography, Various Sites (Abdomen)Abscess; acute gastrointestinal (GI) bleed; aortic aneurysm; aortic dissection; appendicitis; bladder cancer; bowel obstruction; bowel perforation; mesenteric torsion; prostate cancer; tumor with significant mass effect; visceral injury (significant solid organ laceration)
Computed Tomography, Various Sites (Angiography)Brain or spinal cord ischemia; emboli; hemorrhage; leaking aortic aneurysm; occlusion; tumor with significant mass effect
Computed Tomography, Various Sites (Brain and Head)Abscess; acute hemorrhage; aneurysm; infarction; infection; obstruction; stroke; tumor with significant mass effect
Computed Tomography, Various Sites (Chest)Aortic aneurysm; aortic dissection; pneumothorax; pulmonary embolism
Computed Tomography, Various Sites (Pelvis)Ectopic pregnancy; prostate cancer; tumor with significant mass effect
Computed Tomography, Various Sites (Spine)Cord compression; fracture; tumor with significant mass effect
Computed Tomography, Various Sites (Spleen)Abscess; hemorrhage; laceration
DuctographyDuctal cancer in situ (DSIS); invasive breast cancer
EchocardiographyAneurysm; infection; obstruction; tumor with significant mass effect
Echocardiography, TransesophagealAneurysm; aortic dissection
ElectrocardiogramAdult: Acute changes in ST elevation may indicate acute myocardial infarction or pericarditis; asystole; heart block, second and third degree with bradycardia less than 60 beats/min; pulseless electrical activity; pulseless ventricular tachycardia; PVCs greater than three in a row, pauses greater than 3 sec, or identified blocks; unstable tachycardia; ventricular fibrillation
ElectrocardiogramPediatric: Asystole; bradycardia less than 60 beats/min; pulseless electrical activity; pulseless ventricular tachycardia; supraventricular tachycardia; ventricular fibrillation
ElectroencephalographyAbscess; brain death; head injury; hemorrhage; intracranial hemorrhage
EsophagogastroduodenoscopyPresence and location of acute GI bleed
FundoscopyDetached retina
Gastrointestinal Blood Loss ScanAcute GI bleed
Intraocular PressureIncreased IOP in the presence of sudden pain, sudden change in vision; a partially dilated, nonreactive pupil and firm globe implies acute angle-closure glaucoma, which is an ocular emergency requiring immediate attention to avoid permanent vision loss
Kidney, Ureter, and Bladder StudyBowel obstruction; ischemic bowel; visceral injury
Laparoscopy, AbdominalAppendicitis
Laparoscopy, GynecologicEctopic pregnancy; foreign body; tumor with significant mass effect
Liver and Spleen ScanVisceral injury
Lung Scans (Perfusion and Ventilation Studies)Pulmonary embolism
Magnetic Resonance Imaging, Various Sites (Abdomen)Acute GI bleed; aortic aneurysm; infection; tumor with significant mass effect
Magnetic Resonance Imaging, Various Sites (Blood vessels (MRA))Aortic aneurysm; aortic dissection; occlusion; tumor with significant mass effect; vertebral artery dissection
Magnetic Resonance Imaging, Various Sites (Brain)Abscess; cerebral aneurysm; cerebral infarct; hydrocephalus; skull fracture or contusion; tumor with significant mass effect
Magnetic Resonance Imaging, Various Sites (Chest)Aortic aneurysm; aortic dissection; tumor with significant mass effect
Magnetic Resonance Imaging, Various Sites (Venography)Cerebral embolus; occlusion; pulmonary embolus; tumor with significant mass effect
PlethysmographyDeep vein thrombosis
Positron Emission Tomography, Various Sites (Brain)Aneurysm; cerebrovascular accident; tumor with significant mass effect
Ultrasound, Biophysical Profile, ObstetricAbruptio placentae; adnexal torsion; biophysical profile score between 0 and 2 is abnormal and indicates the need for assessment and decisions regarding early or immediate delivery; ectopic pregnancy; fetal death; placenta previa
Ultrasound Studies, Various Sites (Abdomen)Aneurysm 5 cm or greater
Ultrasound Studies, Various Sites (Pelvis; Gynecologic, Nonobstetric)Abscess; adnexal torsion; appendicitis; infection; tumor with significant mass effect
Ultrasound Studies, Various Sites (Scrotum)Testicular torsion
Ultrasound, Venous Doppler, Extremity StudiesDeep vein thrombosis; pulmonary embolism (as a sequelae of DVT)
Upper GI and Small Bowel SeriesForeign body; perforated bowel; tumor with significant mass effect
Venography, Lower Extremity StudiesPulmonary embolism