PED PATHOLOGY PEDIATRIC IMAGING & PATHOLOGY PATH REVIEW (VOL3 pg 179) MORE IMAGES Pyloric stenosis

PED PATHOLOGY PEDIATRIC IMAGING & PATHOLOGY PATH REVIEW (VOL3 pg 179) MORE IMAGES Pyloric stenosis www.phwiki.com

PED PATHOLOGY PEDIATRIC IMAGING & PATHOLOGY PATH REVIEW (VOL3 pg 179) MORE IMAGES Pyloric stenosis

Lesonsky, Rieva, Contributor has reference to this Academic Journal, PHwiki organized this Journal PED PATHOLOGY Peds lecture pt 2 PEDIATRIC IMAGING & PATHOLOGY Reviewed 5/2008 PATH REVIEW (VOL3 pg 179) Congential: Club Foot & Hip Dysplasia Fractures: Greenstick, Torus or buckle Hirschsprung’s (Megacolon) INTUSSUSCEPTION Hylaine Membrane Disease CROUP Osgood-Schlatters Disease Pyloric Stenosis Slipped Epiphysis REFLUX R/O FOREIGN BODY

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MORE IMAGES Pyloric stenosis More common in males Projectile vomiting Failure to thrive CONDITION REFLUX

This CXR is within normal limits; however, when a clinical suspicion of an airway as long as eign body is present, a st in addition to ard PA in addition to lateral CXR are an insufficient evaluation. A lateral neck film should be obtained to examine the upper airway as long as evidence of swelling or as long as eign body.

FB An 18 month old female presented to the Emergency Department with a history of fever, noisy breathing, a harsh cough, in addition to drooling. The fever in addition to coughing began yesterday, but tonight the fever is higher in addition to the cough sounds very harsh. The sound of this cough was alarming to the parents. The epiglottis is normal in shape. The airway is patent. There is pre-vertebral soft tissue swelling noted. This radiograph is consistent with a retropharygeal abscess, not croup. POSITIONING FAT PADS

ABSENCE OF DIAPHRAM

NOTE OPEN JOINT SPACES DO NOT NEED ALL PROJECTIONS AS DONE WITH ADULTS!

c/o stomach ache x 1 week Tension pneumothorax RDS – Respiratory Distress

Hyaline Membrane Disease Acute pulmonary disorder of the newborn characterized by Generalized atelectasis Ventilation-perfusion abnormalities Reduced lung compliance M:F =1.8:1 – slightly more common in males Hyaline Membrane Disease Cause Immature surfactant production (usually begins at 18-20 weeks of gestational age) CLINICAL SIGNS Abnormal retraction of chest wall Cyanosis Expiratory grunting Increased respiratory rate Hyaline Membrane Disease Predispositions Premature infants Cesarean section Infants of diabetic mothers Perinatal asphyxia Onset Usually less than 2-5 hours after birth Increases in severity from 24 to 48 hours Then, gradual improvement after 48-72 hours

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Hyaline Membrane Disease Imaging findings Typically, diffuse “ground-glass” opacification of both lungs with air bronchograms in addition to hypoaeration Hypoaeration from loss of lung volume (may be counteracted by respiratory therapy) Fine granular pattern Prominent air bronchograms Bilateral in addition to symmetrical distribution Prognosis Spontaneous clearing within 7-10 days (mild course in untreated survivors) Death in 18% Hyaline Membrane Disease Infant respiratory distress syndrome The term respiratory distress syndrome (RDS) has come to represent the clinical expression of surfactant deficiency Hyaline Membrane Disease

Hyaline Membrane Disease croup vs This radiograph is consistent with a retropharygeal abscess, not croup.

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