Pediatric Imaging
Eww Yuck!
Skin Stuff
Diagnosis
baby stuff
100
15 day old with vomiting/abdominal distension over the last 2 days, no stool output, prior to this would stool every 3 days but only with suppository. The test that would be diagnose this condition
What is suction rectal biopsy
100
This child is typically________ and would have _______ on their labs and is diagnosed with _______.
What is a 4 week old first born male infant and hypokalemic hypochloremic metabolic acidosis:pyloric stenosis
100
a 2 year old has had fever X 2 days, now this on exam plus similar on extremities, what do you council family about the course of illness and one big scary side effect. What is the culprit causing this?
What is coxsackie virus and expect 1 week worsening, once scabs and no new spots, no fever X 24 hours then no longer infectious, finger nails may come off, dehydration if not taking enough PO
100
Child with abdominal pain, exam shows soft,nonttp abd. The diagnosis is
intussussception
100
you deliver a baby on the ramp who is limp and blue, next steps for resusc
warm and stimulate for 30 seconds
200
18 mon old with off/on abdominal pain X 12 hours and 1X vomit. This image is obtained. The exam may show this on abdominal exam and this on diaper exam
What is sausage mass and currant jelly stools
200
Name this and what condition it is seen in, also the assoc vascular condition
What is intussusception and HSP
200
1 yo fever X 2 days and next day this rash, what diagnosis do you make and what do you know is a common complication
Roseola, febrile seizures
200
4mo brought in for fussiness and poor feeding, your diagnosis and workup includes?
NAT, CT head, skel survey labs
200
you have done those things, baby still blue and limp, you have started PPV for one minute and the baby HR is what that makes you start CPR? To just continue PPV?
HR <60, HR <100 continue PPV
300
3 yo drooling X 2 hours after playing in her room, name two serious complications from this condition
What is esophageal stricture and GI bleeding from aortic erosion
300
15 mon old without any complaints but the below, name the imaging test used to diagnosis this condition
What is Meckle's scan
300
If not treated corrected this condition can lead to what
What is nec fasc and sepsis
300
What age and mechanism might you see this?
toddler, 2yo, running and tripping
300
A 14 day old has arrived with lethargy, poor feeding and T 95.5, you are doing blood urine and CSF testing, what additional testing and treatment would you do for this age infant?
HSV blood, HSV swab, HSV CSF and acylcovir
400
10 day old vomiting, abdominal distension, stooling blood, ER team will institute this treatment plan
What is make the baby NPO, resuscitation with fluids, pressors, intubation if needed, IV abx, Surgical consult, admission
400
3yo in daycare, wimpering at night, tossing and turning-you do a detailed exam and know the diagnosis is and you will start treatment and what else will you tell parents?
Pin worms, mebendazole, treat family, wash all sheets/towels in hot water
400
The diagnosis and treatment is, what would you not do in this case
What is Kerion and oral antifungal like griseofulvin, do NOT I&D!
400
Patient now has puffy eyes and urine changes, what is the diagnosis and cause
Post strep glomerulonephritis, GAS impetigo
400
Term 31 day old F 102 at home, no associated symptoms, mom GBS + but did get abx, what testing do you have to get?
UA, U CX, bld CX, CRP Procal, CBC
500
3 week old vomiting green stuff, name this condition
What is duodenal or jejunal atresia
500
What test may give you the diagnosis after your pediatric patient vomited this
What is upper GI imaging with contrast
500
This condition is caused by what?
What is Exfoliative skin toxin A from MSSA
500
2 wk old has developed these stools, how would you make the diagnosis? and what is it? eventual inpatient treatment and long term need?
LFTs, bili total and direct, RUQ US, biliary atresia, kasai procedure, liver transplant
500
These elevated levels can lead to long term brain damage, often see in the condition on the right, the way you determine if treatment needed, and if needed, this is the treatment
hyperbilirubinemia, cephalohematoma, bilitool, bili UV lights