MEDICAL

INVESTIGATIONS
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MEDICAL INVESTIGATIONS

Contents
INVESTIGATION................................................................................................................................................................................................................................................. 2
BEST TIME FOR INVESTIGATION IN OBSTETRICS AND GYNECOLOGY ...................................................................................................................................... 3
INVESTIGATION OF CHOICE ......................................................................................................................................................................................................................... 4

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INVESTIGATION

MEDICAL INVESTIGATIONS

INVESTIGATION
Non Invasive Method to Evaluate biliary tree
Accurate Modality for Diagnosis of Gall stones
Diagnosis of Temporal bone Fracture
Ideal Imaging for Blunt Abdominal Trauma
(Hemodynamically stable)
Important Investigation for High risk fetus
Best method for diagnosis of Unruptured Ectopic
Pregnancy
Diagnosis of Hydrocephalus in Infants
Inhaled Foreign body in Infant
First Indication in Ocular Trauma
Initial Investigation in Obstructive Jaundice
Initial Investigation Esophageal Dysphagia
Non Invasive test for altered bowel mucosa function
Best Initial imaging for Pulmonary Embolism
Best method for detecting HCG
Chorionicity is best diagnosed by
CPD best assessed by
Uterine Delineation best assessed by
Best Investigation for Rapid Onset Hirsutism
Best Investigation for Uterus Didelphys
Salpingitis best Confirmed by
First Investigation for Postmenopausal Bleeding
Best Investigation for Postmenopausal Bleeding
Luteal Phase Defect
Ovulation
Cystinuria
Gold Standard test for Diagnosis of Streptococcal
Pharyngitis
Streptococcal Glomerulonephritis
Q Fever
Mycoplasma
Genital Herpes
Human Immunodeficiency Virus
Cruetzfeldt Jacob Disease
Acute Primary Amoebic Meningoencephalitis
Invasive Amoebiasis
Amoebic Liver Abscess
Angiostrongulosis
Tracing of Typhoid Carriers in City
Congenital Syphilis
Confirmation of Rheumatic fever
Cytomegalovirus
Ruling out Chronic Diarrhoea
Thalassemia
Ducchne Muscular Dystrophy
Gold Standard test for Fat Malabsorption

MRCP
USG
CT scan
FAST
Colour Doppler
Combination of Transvaginal Ultrasound & Quantitaive
HCG Values
USG
Bronchoscopy
IOP measurement
USG
Barium swallow
Urinary D-Xylose Test
Pulmonary Angiography
Radioimmunoassay
USG (6-9 weeks)
CT scan
Saline Infusion USG
Testosterone
USG
Laparoscopy/Hysteroscopy
Endometrial Biopsy
Fractional Currettage
Endometrial Biopsy
USG
Cyanide Nitroprusside Test
Throat Culture
Anti DNAase
Anti Hyaluronidase
Indirect Immunofluorescence
Enzyme Immuno Assay
Tzank Smear
Reverse Transcriptase PCR
PRPsc
Trophozoite in CSF
ELISA
Trophozoite in Pus
Peripheral CNS Eosinophilia
Sewer Swab Technique
IgM FTA-ABS
ASLO Titre
Culture of Virus
PCR Amplification
Small Intestinal Biopsy
Hemoglobin Electrophoresis
CPK
Quantitative estimation of Fecal Fat

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BEST TIME FOR INVESTIGATION IN OBSTETRICS AND GYNECOLOGY

MEDICAL INVESTIGATIONS
First Investigation of Breast Lump
Best Investigation for Breast Lump
Next Investigation after TFT
Early Diagnosis of Gastric cancer
Serological test for Hydatid Cyst
First Investigation for CBD Stone
Initial Investigation for Post Cholecystectomy Biliary
Stricture
Insulinoma
Next Investigation after visualizing filling defect in IVP
Assessment of Substances in Stones
Differentiate between Stress Incontinence & Detrusor
Instability
Gross Painless Hematuria in Elderly
Syrinx
Initial screening for Primary hyperparathyroidism
Initial Investigation for Hyperpituitarism
Detecting small Paraaortic Nodes
Lung Sequestration
MC investigation for evaluation of cancer patient for
bone metastasis
MC Investigation for Hypothyroidism
Investigation done in downs syndrome before surgery
Most Useful Investigation for Vesicovaginal Fistula

FNAC
Open Biopsy
Thyroid Scan
Staining with Endoscopic Biopsy
Immunoblast Test
USG
MRCP
72 hour Fasting Test
USG
X-ray Crystallography
Urodynamic Study
Urine Microscopy
MRI
Serum PTH
Serum IGF-1
CT Scan
CT scan
Bone Scan
Serum TSH
Echocardiogram
Cystoscopy

BEST TIME FOR INVESTIGATION IN OBSTETRICS AND GYNECOLOGY

FSH / LH Assay
Tubal Patency
Unsafe Period
Post Coital test
Serum Progesterone
Endometrial Biopsy

nd

rd

2 /3 day
th
th
6 8 day
th
8-18 day
11-13 days (1-2 days before ovulation)
st
21 day
st
rd
21 23 day

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INVESTIGATION OF CHOICE

MEDICAL INVESTIGATIONS

INVESTIGATION OF CHOICE
Atticoantral CSOM
Extradural Abscess
Bezold Abscess
Cerebral Abscess
Coalescent Mastoiditis
Imaging Modality for Nasopharyngeal Carcinoma
Acoustic Neuroma
Glomus tumour
Malignant Hyperthermia
Atopic Dermatitis
Contact Dermatitis
Donovanosis
Chancroid
Dermatophytosis(Tinea)
Lupus Vulgaris
Retinal Detachment
Traumatic Optic Neuropathy
Subarachnoid Hemorrhage
Post menopausal Bleeding
Rapid Onset Hirsutism
Uterus Didelphys
Ectopic Pregancy
Hydatidiform Mole
Endometriosis
Streptococcal Pharyngitis
Diphtheria Carrier
Rapid Diagnosis of Syphilis
Evaluation of therapy of Syphilis
Congenital Syphilis
st
Typhoid 1 week
rd
Typhoid 3 week(after 25 days of onset of fever)
Narcolepsy
Urinary Bladder Neoplasm
Bronchiectasis
Carcinoma Esophagus
Zenkers Diverticulum
Achalasia Cardia
Primary and Metastatic Neuroendocrine Tumour
(except Insulinoma)
Pseudomyxoma Peritonei
Hirschprungs Disease
Angiomyolipoma
Axillary Subclavian Vein Thrombosis
Abdominal Aortic Aneurysm
Soft Tissue Sarcoma Extremity
Soft Tissue Sarcoma Retroperitoneum
Solitary Thyroid Nodule

CT Scan
MRI
CT scan
MRI with Gadolinium and Fat Suppression
MRI with Gadolinium
CT Scan
Biopsy of Muscle
Contracture Study
Clinical Examination
Patch Test
Microscopy
Gram Staining
KOH Smear
Biopsy
Indirect Ophthalmoscopy
High Resolution CT Scan
Non Contrast CT scan
Fractional Curettage
S.Testosterone
USG
Diagnostic Laparoscopy
USG
Laparoscopy
Throat Culture
Throat Swab
RPR
VDRL
IgM FTA-ABS
Blood Culture
Widal Test
Polysomnography
Multiple Sleep Latency Test
Cystoscopy & Biopsy
High Resolution CT Scan
Endoscopy & Biopsy
Barium Swallow
Barium Swallow
Somatostatin Receptor Scintigraphy
CT Scan
Rectal Biopsy
CT Scan
Doppler
Contrast Enhanced CT Scan
MRI
CT Scan
FNAC

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INVESTIGATION OF CHOICE

MEDICAL INVESTIGATIONS
GERD
CBD Stone Non Invasive
CBD Stone
Extrahepatic Biliary Atresia
Insulinoma
Diverticulosis
Diverticulitis
Renal Cell Carcinoma
Testicular Torsion
Early Phase of Renal Transplant
Small para aortic Lymph Nodes
Deep Vein Thrombosis
Blunt injury Abdomen(Stable&Unstable)
Parotid Swelling
GIST
Delayed Passage of Meconium
Hip Fracture
Perthes Disease
Ligamental Injury of Knee
Altered Intestinal Mucosa
Altered Intestinal Mucosa(Non invasive)
Pyloric Stenosis
Wilsons Disease
Thalassemia
Ducchne Muscular Hypertrophy
Tracheoesophageal Fistula
Primary Bone Tumour
Bone Metastasis
Parathyroid Location
Pulmonary Embolism
Cavernous Angioma
Meningeal Carcinomatosis
Temporal Bone Lesions
Acute Renal Stone
Early Renal TB
Late Renal TB
UTI Children
UTI Adults
Posterior Urethral Valve
Vesicoureteric Reflex
Vascular Rings
Irreversibly Damaged Myocardium
Upper GI Bleed
Acute Pancreatitis
Spinal Stenosis
Adrenal Phaeochromocytoma
Extraadrenal Phaeochromocytoma
Cause of Sub arachnoid Hemorrhage
Abdominal Trauma

24 Hours pH Study
MRCP
ERCP
Peroperative Cholangiography
72 hours Fasting Test
Barium Enema
CT Scan
CT Scan
Colour Doppler
USG
CT Scan
Duplex USG
USG
FNAC
PET CT
Contrast Enema
T1W MRI
MRI
Arthroscopy followed by MRI
Endoscopic Mucosal Biopsy
Urinary D-Xylose Test
USG
Liver Biopsy
Quantitative Copper Assay
Hemoglobin Electrophoresis
CPK
Chest X ray
MRI
Whole body MRI
MIBI + CT Scan
CT Pulmonary angiography
T2 Gradient ECHO MRI
Gadolinium enhanced MRI
Non Contrast CT Scan
Non Contrast Helical CT Scan
IVP
CT Scan
IVP
USG
Micturating Cystourethrogram
Micturating Cystourethrogram
MRI
Delayed Contrast Enhanced MRI using Gadolinium
Endoscopy
CT Scan
MRI
CT Scan
MIBG
Digital Subtraction Angiography
CT scan

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INVESTIGATION OF CHOICE

MEDICAL INVESTIGATIONS
Splenic Injury
Displaced IUD
Osteoporosis
Gall Stones
Acute Cholecystitis
CT/RT induced Cardiotoxicity
Dental Biopsy
Interstitial Lung Disease
Aortic Dissection(Stable)
Aortic Dissection(Unstable)
Recurrent/Chronic Sinusitis
Hydrocephalus in Infants
Juvenile Nasopharyngeal Angiosarcoma
AV Fistula
Ca Larynx
Lumbar disc Herniation
Diffuse Esophageal Spasm
Acute Mesentric Ischemia
Chronic Mesentric Ischemia
Ca Pancreas
Pancreatic Injury
Pseudomyxoma Peritonei
Dysphagia for Solid food
Epitheloid Mesothelioma
Ca Colon (Radiological IOC)
Meyer Rokitansky Kustner Syndrome
Detect Abnormal fetus in Diabetic Mother
Predict Chances of Abnormality in Diabetic Mother

Contrast enhanced CT Scan

USG
DEXA
USG
USG
Endomyocardial Biopsy
Pantomography
HRCT Scan
MRI
Transesophageal ECHO followed by CT
Non Contrast CT
USG
Contrast enhanced CT Scan
Arteriography
Diagnostic Laryngoscopy
MRI
Manometry
Laparotomy
Angiography
Contrast Enhanced CT Scan
HRCT
CT Scan
Endoscopy
Electron Microscopy
Double Contrast Barium enema
USG
USG
Glycosylated Hb

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