In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation. She discusses the importance of being vigilant when presented with classic patterns of injury, the use of hypertonic saline, crisis resource management and shared decision making with consultants...
Подросток направлен на контрольное УЗИ щитовидной железы, в выписке из ИБ одной из ДГБ г. Москвы описан данный узел без каких-либо...
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The following images are from WikiRadiography (WetPaint) here. See a lateral epicondyle avulstion fracture here.
The gastroduodenal artery (GDA) is a terminal branch of the common hepatic artery which mainly supplies the pylorus of the stomach, proximal duodenum, and the head of the pancreas. Due to its ...
Useful mnemonics for remembering the Salter-Harris classification system are: SALTR SMACK SMETI Fortunately, this is also the order of prognosis (from best to worse)MnemonicsSALTR S: sli...
Hidden diagnosis
This case demonstrates fairly typical distribution of ischaemic changes in a patient with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). Note ...
Hidden diagnosis
Hidden diagnosis
Kartagener syndrome (also known as Kartagener-Afzelius syndrome) is a subset of primary ciliary dyskinesia, an autosomal recessive condition characterised by abnormal ciliary structure or func...
Outline Fetal Cardiovascular Physiology, 372 Ultrasound Equipment, 372 First and Early Second Trimester Fetal Cardiac Evaluation, 372 Cardiac Examination, 372 Effectiveness of Early Gestation Cardi…
Hidden diagnosis
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ASE Guidelines for Pediatric Echocardiography - Windows - Suprasternal - Parasternal - Right Parasternal - Subxiphoid - Apical #Pediatrics #Echocardiogram #cardiology #windows #POCUS
Active rachitic changes are seen evidenced by metaphyseal fraying, cupping and broadening as well as osteopenic texture of the examined bones.
Biliary atresia is a congenital biliary disorder that is characterised by an absence or severe deficiency of the extrahepatic biliary tree. It is one of the most common causes of neonatal cholestas...
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Diagrams of the contents of the superior orbital fissure, tendinous ring, inferior orbital fissure and optic canal.
Prepare for the pediatrics board exam with our board review questions and practice exams. Browse your options to find which is right for you!
Abstract The perinephric space, shaped as an inverted cone, sits between the anterior and posterior renal fasciae. It can play host to a variety of clinical conditions encountered daily in the reporting schedule for a radiologist. Lesions may be classified and diagnosed based on their imaging characteristics, location and distribution. A broad range of differential diagnoses can be attributed to pathology sitting within this space, often without clinical signs or symptoms. An understanding of commonly encountered conditions affecting the perinephric space, along with characteristic imaging findings, can illustrate and often narrow the likely diagnosis. The aim of this essay is to describe commonly encountered neoplastic and non-neoplastic entities involving the perinephric space and to describe their key imaging characteristics. Teaching Point • Despite often a bulky disease, perinephric lymphoma does not produce obstruction or stenosis. • In primarily fatty masses, defects within the renal capsule likely represent angiomyolipoma. • Consider paraganglioma if biopsy is planned; biopsy may lead to catecholamine crisis.
Intracranial germinomas, also known as dysgerminomas or extra-gonadal seminomas, are a type of germ cell tumour and are predominantly seen in paediatric populations. They tend to occ...
This note set includes the pediatric assessment triangle, normal vital signs by age, potential causes of abnormal vital signs, overview of common complaints, red flags in overall pediatric condition, anatomical differences between kiddos and adults, respiratory language, retractions, supplemental O2, hypovolemia, fontanelles, intramuscular injections, and tip and tricks for pediatrics. Then we have the run down on RSV, croup, URI, asthma, otitis media, chicken pox, hand-foot-mouth, rash descriptions / skin conditions, appendicitis, and common orthopedic fractures. 25 pages of content. Read only view.
Prepare for the pediatrics board exam with our board review questions and practice exams. Browse your options to find which is right for you!
Prepare for the pediatrics board exam with our board review questions and practice exams. Browse your options to find which is right for you!
Images courtesy of Dr Simon Meagher
Background and purpose Traumatic tectorial membrane injuries have different radiologic presentations in adult versus pediatric patients. The purpose of this study was to identify and classify the different types of tectorial membrane injuries that occur in the adult and pediatric populations. Materials and methods Patients who suffered tectorial membrane injury were identified retrospectively using the keywords ‘tectorial membrane,” “craniocervical ligament tear/injury,” and “atlanto-occipital dissociation” included in radiology reports between 2012 and 2018 using Nuance mPower software. All relevant imaging studies were reviewed by two certificates of additional qualification-certified neuroradiologists. Detailed descriptions of injuries were recorded along with any relevant additional findings, including clinical history. Results Ten adults and six pediatric patients were identified with acute traumatic injuries of the tectorial membrane. Ninety percent of the adult patients sustained complete disruptions inferior to the clivus, or subclival, with 22% of tears at the level of the basion and 78% at the level of the odontoid tip. In contrast, 83% of pediatric patients suffered a stripping injury of the tectorial membrane located posterior to the clivus, or retroclival. Stretch injuries of the tectorial membrane were identified in 10% of adults and 17% of pediatric patients. The juvenile-type injury, which causes retroclival epidural hematoma, was determined to preferentially occur in patients less than or equal to 14 years of age with a high level of statistical significance (p value = 0.0014). Conclusions A classification system for tectorial membrane injuries is proposed based on this data: type 1—retroclival stripping injury (more common in pediatric patients); type 2a—subclival disruption at the basion and type 2b—subclival disruption at the odontoid (both more common in adult patients); and type 3—thinning of the tectorial membrane.
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