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Brochure Cases |
Case-based Online Radiology Education (CORE) is iInTIME's virtual patient program for medical students studying Radiology.
In an era of cost-containment and increasing importance of evidence-based decision making, yet with increased reliance on imaging, having a basic understanding of the principles and applications of medical imaging is vital. The National Board of Medical Examiners has recognized this by increasing the imaging component of all USMLE exams. CORE (Case-based Online Radiology Education) currently includes 15 interactive virtual patient cases which encompass the learning objectives of the Alliance of Medical Student Educators in Radiology (AMSER) National Medical Student Radiology Curriculum.
CORE cases teach a patient-centered approach to imaging, foster self-directed and independent study and build clinical problem-solving skills. They utilize the American College Radiology (ACR) Appropriateness criteria to teach an evidence-based approach to imaging and link to appropriate excellent interactive Radiology resources on the web.
These cases can be used as a stand-alone Radiology course during a Radiology clerkship or elective, or incorporated into the appropriate clinical clerkships. For example, the Women's Imaging cases can be taken during the OBGYN clerkship, the Neuroimaging during the Neurology clerkship, thus teaching imaging at a time they can apply it. CORE could be applied as a single MedU module or as an adjunct to other MedU cases that the students utilize.
Case List
PLEASE NOTE: The order of CORE 1 and CORE 2 was reversed as of 10/5.
Additional content:
This case is based around the topic of infections within the thorax. Areas that are covered during this case include:
- Pneumonia, lobar patterns, silhouette signs, air bronchograms
- Atypical pneumonias
- Pneumonia in the immunocompromised patient
- Films in ICU (portable chest radiographs)
- ARDS
- Follow up of pneumonia in patients
- Pleural effusions (views, appearances)
- Empyema
- Radiation exposure risks
Additional content:
This case introduces a number of topics in basic chest radiology. The case involves a patient with lung cancer, but some of the other topics included are:
- Normal CXR and CT thoracic anatomy
- Preoperative CXR’s
- Lung cancer screening
- PET scans
- Lung biopsies
- Costs of imaging procedures
- Solitary pulmonary nodules
- Pneumothorax and chest tubes
- Atelectasis
- Differential diagnosis of a 'white' hemithorax
- Thoracic adenopathy
Additional content:
This case involves a patient who is admitted after a motor vehicle accident and covers a number of areas of thoracic trauma as well as other topics including:
- Imaging in trauma: CXR, CT, angiography
- Aortic rupture
- Pneumothorax: supine
- Pneumomediastinum
- Latrogenic pathology - misplaced lines and tube
- Work up of suspected rib fractures
- Diaphragm rupture
Additional content:
- COPD/emphysema
- Work up of suspected PE
- V/Q scans, Pulmonary angiography CT, and catheter angiography
- Management of negative PE studies in high and low risk patients
- Aortic dissection
- IVC filters
- Cardiomegaly
- Cardiac failure
- Non-cardiogenic pulmonary edema
Additional content:
- Normal abdominal radiograph anatomy
- Barium studies
- Use of oral intravenous (IV) contrast
- Adverse contrast reactions and contraindications
- Small bowel obstruction and paralytic ileus
- Inflammatory bowel disease
- Colonic tumors
- Metastatic staging
- Extraluminal gas in the abdomen
Additional content:
- Gallstones
- Abdominal calcifications
- Abdominal ultrasound anatomy
- Chronic cholecystitis and acute cholecystitis: US, nuclear medicine hepatobiliary scanning, MRCP, ERCP
- Portable imaging exams
- Imaging-guided paracentesis
- Appendicitis: US, CT, MR
- Pancreatitis CT
- Pancreatic carcinoma: CT, endoscopic US
- Metastatic liver lesions: Radiofrequency abalation (RFA)
- Palliative care: percutaneous transhepatic biliary drain (PTBD), overview of hospice-provided end-of-life care
Additional content:
- American College of Radiology (ACR) Appropriate Criteria® for Urologic Imaging site
- Nephrolithiasis
- Painless hematuria
- Pyelonephritis
- Contrast-induced nephropathy
- Renal failure
- Renovascular hypertension
- Work-up of indeterminate renal masses
- Renal cysts
- Renal cell carcinoma
Additional content:
- Plain radiograph trauma series: Portable Lateral C-spine, AP CXR, and AP Pelvis
- CT imaging for trauma
- Liver, splenic, and kidney injury
- Bowel injury
- Bladder injury (intra- and extraperitoneal)
- Diaphragmatic injury
Additional content:
- Head trauma imaging
- Cervical trauma imaging
- Epidural hemorrhage
- Subdural hemorrhage
- Other types of cerebral hemorrhage
- Traumatic brain injury
- Increased intracranial pressure
- Cerebral herniation
- Appearance of blood on imaging over time
Additional content:
- Headache
- Vascular malformations
- Cerebral aneurysm
- Subarachnoid hemorrhage
- Neurointerventional procedures
- Intra-axial lesions in HIV infection
- MRA and cerebral angiography
Additional content:
- Bilious vomiting
- Work-up bilious vs. non-bilious vomiting
- Mid-gut volvulus
- Bronchiolitis
- Complications of intubation
- Radiation exposure in children
- Pediatric fractures
- Limping
- Child abuse
Additional content:
- Hip Dysplasia
- Hydrocephalus
- Intussusception
- Appendicitis
- Malrotation
- Testicular torsion
- Chronic abdominal pain
- Epiglottitis
- Round pneumonia
Additional content:
The case involves a patient with rheumatoid arthritis, but some of the other topics included are:
- Hip Dysplasia
- Hydrocephalus
- Intussusception
- Appendicitis
- Malrotation
- Testicular torsion
- Chronic abdominal pain
- Epiglottitis
- Round pneumonia
Additional content:
- Management of breast masses in a young patient
- Imaging in infertility
- Imaging in early pregnancy
- Ectopic pregnancies
- Morphological ultrasound
- Down syndrome screening
- Late pregnancy ultrasound
- MRI in pregnancy
Additional content:
- Mammography - screening, diagnostic
- Breast ultrasound
- Breast biopsies
- Breast MRI
- High risk screening for breast and ovarian cancer
- Management of uterine bleeding
- Pelvic ultrasound
- Sonohysterograms
- Pelvic MRI
Additional Content:
- Normal anatomy of commonly imaged joints.
- Basic terminology of musculoskeletal injuries including fractures.
- Imaging work up of ankle and foot trauma, common ankle fractures.
- Knee injuries including ligamentous injuries and tibial plateau fractures.
- Approach to knee joint effusion.
- Work up of suspected hip fractures in the Elderly.
- Imaging of wrist fractures including Colle’s fractures and scaphoid fractures.
- Evaluation of shoulder dislocations.
- Detection of Elbow joint effusions and subtle fractures.
- Radiation exposure to patient and operator during fluoroscopic procedures.