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Kaplan Qbank USMLE



Author7 Posts
  #1

what is the first diagnostic test of choice (cost effective) ?

1.Ct scan
2.MRI
3. L.P.

  #2

:arrow: LP

  #3

Im little confused in here :roll: ,CT scan or LP which one to go first .

Can anyone tell me ?

  #4

LP surely,having mentioned cost effectiveness.

  #5

in kaplan notes it is given CT scan is the initial test ,
if the initial CT scan is normal and a SAH is still suspected tnan a LP is done

kaplan medicine pg 107

correct me if i m wrong

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  #6

I agree with you dimps .

since LP in SAH shows xanthochromia (blood mixed in CSF)..we don't go for LP first .

but only when mentioned cost effective...i think LP should be answer ? :roll:

  #7

An LP is contraindicated in case of increased ICP.
If CT is -ve shows no mass lesion, intracerebral hematoma or hydrocephalus (all C/I) do an LP, >12hrs after the onset of headache.
CSF is uniformly bloody after a few hrs and xanthochromic after a few hrs.

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