1 / 75

PED PATHOLOGY

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

uma-garza
Télécharger la présentation

PED PATHOLOGY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PED PATHOLOGY Peds lecture pt 2

  2. PEDIATRIC IMAGING & PATHOLOGY Reviewed 5/2008

  3. 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

  4. MORE IMAGES

  5. More common in males Projectile vomiting Failure to thrive Pyloric stenosis

  6. CONDITION? REFLUX

  7. This CXR is within normal limits; however, when a clinical suspicion of an airway foreign body is present, a standard PA and lateral CXR are an insufficient evaluation. A lateral neck film should be obtained toexamine the upper airway for evidence of swelling or foreign body.

  8. FB

  9. An 18 month old female presented to the Emergency Department with a history of fever, noisy breathing, a harsh cough, and drooling. The fever and coughing began yesterday, but tonight the fever is higher and 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.

  10. POSITIONING FAT PADS

  11. ABSENCE OF DIAPHRAM

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

  13. c/o stomach ache x 1 week Tension pneumothorax

  14. RDS – Respiratory Distress

  15. 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

  16. 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

  17. 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

  18. Hyaline Membrane Disease Imaging findings • Typically, diffuse “ground-glass” opacification of both lungs with air bronchograms and hypoaeration • Hypoaeration from loss of lung volume (may be counteracted by respiratory therapy) • Fine granular pattern • Prominent air bronchograms • Bilateral and symmetrical distribution • Prognosis • Spontaneous clearing within 7-10 days (mild course in untreated survivors) • Death in 18%

  19. Infant respiratory distress syndrome The term respiratory distress syndrome (RDS) has come to represent the clinical expression of surfactant deficiency Hyaline Membrane Disease

  20. Hyaline Membrane Disease

  21. Hyaline Membrane Disease

  22. croup vs This radiograph is consistent with a retropharygeal abscess, not croup.

  23. INTUSSUSCEPTION A barium enema demonstrated an intussusception at the hepatic flexure which was successfully reduced

  24. BLOCKER PLACEMENT GRID OR NO GRID?

  25. IniencephalyHistory:Newborn girl with short neck and head tilted up toward the sky. She died approximately 24 hours after birth due to multiple anomalies

  26. 10 yo – Pain no trauma These radiographs demonstrate a pathologic fracture through a bone cyst of the proximal humerus.

  27. Osgood-Schlatter disease • is an overuse condition or injury of the knee that causes pain and swelling below the knee area over the tibia.

  28. Osgood-Schlatter disease • Growth spurts can begin any time between the ages of 8-13 for girls and 10-15 for boys. • OSD is most common in 11 to 14 y/o • OSD is more likely in teens who participate in sports that involve running, twisting, and jumping, such as basketball, football, volleyball, soccer, tennis, figure skating, and gymnastics. • With exercise, the muscles place increased stress on the growth plate

  29. Osgood-Schlatter disease

  30. Osgood-Schlatter disease

  31. GREENSTICK- Incomplete fracture TORUS OR BUCKLE- Impacted FRACTURES IN CHILDREN

  32. GREENSTICK TORUS OR BUCKLE FRACTURES IN CHILDREN

  33. GREENSTICK- TORUS OR BUCKLE FRACTURES IN CHILDREN

  34. Incomplete fx greenstick

  35. Slipped Epiphysis • The head of femur dislocates into the epiphysis

  36. Slipped Epiphysis • One foot might point outward more than the other, or one leg may be slightly longer than the other.

  37. Slipped Epiphysis 11 yo with a limp Bilateral with worse on the right side

More Related