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Table 1 Core Conditions Utilizing Ultrasound in Resource-Poor Settings

From: Turning a blind eye: the mobilization of radiology services in resource-poor regions

Type

Condition

Intervention

Skill Level

Necessity

Abdominal

Cephalopelvic disproportion

Cesarean section

Advanced

Moderate

 

Ectopic pregnancy

Surgical management

Advanced

Moderate

 

Retained products of conception

Dilation and Currettage

Advanced

High

 

Abruptio placentae

Medical and surgical management

Advanced

High

 

Peripartum hemorrhage

Medical management

Basic

Moderate

 

Cholecystitis

Medical and surgical management

Advanced

High

 

Tuberculosis (intra-abdominal)

Medical management

Basic

High

 

Hydronephrosis

Medical and surgical management

Basic

High

 

Abdominal trauma

Medical and surgical management

Advanced

High

 

Abdominal masses

Medical and surgical management

Basic

High

Chest

Pleural effusion

Thoracentesis

Advanced

High

 

Pneumothorax

Chest tube

Advanced

Moderate

 

Hemothorax

Thoracentesis

Advanced

High

Cardiovascular

Deep vein thrombosis

Anticoagulation

Basic

High

 

Cardiac failure

Medical management

Basic

Moderate

 

Cardiac valve disease

Medical and surgical management

Advanced

High

 

Pericardial effusion

Medical management and pericardiocentesis

Advanced

High

Orthopedic

Spine, skull trauma

Surgical management

Advanced

Moderate

 

Pediatric Osteomyelitis

Medical management

Basic

Moderate

 

Rib, pelvis trauma

Surgical management

Advanced

Moderate

Neurological

Neonatal hemorrhage

Medical management

Advanced

High

 

Neonatal infection

Medical management

Advanced

Moderate

Procedural

Intravenous Access

Procedural guidance

Basic

Moderate

 

Abscess

Procedural guidance

Basic

Moderate

 

Arthrocentesis

Procedural guidance

Basic

Moderate

 

Paracentesis

Procedural guidance

Advanced

High

 

Thoracentesis

Procedural guidance

Advanced

High

 

Pericardiocentesis

Procedural guidance

Advanced

High

 

Foreign Body

Procedural guidance

Basic

Moderate

 

Lumbar Puncture

Procedural guidance

Basic

Moderate

  1. *Skill level refers to the skills required both for diagnosis and for subsequent intervention of the generalist practitioner who might perform sonagraphy. We indicate the skill level as such because we assume in the resource-poor context that the generalist practitioner would be required to perform the ultrasound, interpret the result, and perform the indicated intervention. Necessity refers to the need for the imaging modality in diagnosis and management of the condition listed.