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  • Ped Note Radiology

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    GriggrogGinger
    24 vues3 pages
    1. An abdominal X-ray can help guide further imaging by examining the position, size, and appearance of organs like the large and small bowel. 2. Common causes of small bowel obstruction include surgical adhesions, hernias, and intraluminal masses. Bladder stones are often seen in cases of urinary tract infection, neurogenic bladder, or bladder diverticulum. 3. In neonatal chest X-rays, things like poor positioning, expiration, thymic shadows, and pneumomediastinum can produce false positives. Tube and line placement and common lung pathologies are also discussed.

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    Pediatrics X ray note radiology

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    1. An abdominal X-ray can help guide further imaging by examining the position, size, and appearance of organs like the large and small bowel. 2. Common causes of small bowel obstruction include surgical adhesions, hernias, and intraluminal masses. Bladder stones are often seen in cases of urinary tract infection, neurogenic bladder, or bladder diverticulum. 3. In neonatal chest X-rays, things like poor positioning, expiration, thymic shadows, and pneumomediastinum can produce false positives. Tube and line placement and common lung pathologies are also discussed.

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    24 vues3 pages

    Ped Note Radiology

    Transféré par

    GriggrogGinger
    1. An abdominal X-ray can help guide further imaging by examining the position, size, and appearance of organs like the large and small bowel. 2. Common causes of small bowel obstruction include surgical adhesions, hernias, and intraluminal masses. Bladder stones are often seen in cases of urinary tract infection, neurogenic bladder, or bladder diverticulum. 3. In neonatal chest X-rays, things like poor positioning, expiration, thymic shadows, and pneumomediastinum can produce false positives. Tube and line placement and common lung pathologies are also discussed.

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    sur 3

    Abdominal XR (AXR)

    - Limit Dx < CXR


    - 35x CXR radiation
    - acute abd
    - guide further image
    - Position
    - Supine 99%
    - Erect
    - Lat decubitus
    - Large bowel Normal 5.5 cm
    - Small bowel not > 3.5 cm
    - Cecum dilate > 8 cm
    Common cause of SBO
    1.Sx adhesion
    2.Hernia
    3.Intraluminal mass

    Bladder calculi common seen in


    1.UTI
    2.Neurogenic bladder
    3.Bladder diverticulum

    Normal neonatal CXR


    False positive
    poor position
    expiration: pulm congest, pulm vasc, big heart
    Thymus
    Lateral film
    above heart must fill with STS
    Air - pneumomediastinum
    Lung - thymic hypoplasia
    Sign
    Wave: indent by rib
    Sail: rt lobe at minor fissure

    LineTube
    - ETT: tip at 1/2 thoracic inlet: carina
    - Enteric
    - UAC: Hi T6-9, Lo L3-5
    Left side spine
    - UVC: RA-IVC junct.(just above diaph)
    Right side spine
    Lung pathology
    common
    RDS
    MAS
    Pmn
    TTNB
    BPD
    ALS
    ,,,,,,,,
    RDS = HMD
    Premature
    Surfactant <= type 2 pneumocyte
    no until 34-36 wk
    decrease surface tension
    increase risk: Premature, LBW, M, C/S, perinatal asph, chorioamnionitis, hydrop, GDM
    decrease risk: chronic intrauterine stress, PROM, HT,narcotic cocaine, IUGR/SGA,steroid,
    thyroid, tocolytic

    0nset 0-7 h
    Worse 72 h then improve

    Rad
    Low vol
    Bilat uniform GG
    peripheral air bronchogram
    Diffuse lung opacity
    *** if Rx
    CPAP/MV: normal lung vol
    Surfactant: less homo/symmetric
    C/P

    pneumothorax, pmds
    BPD
    Prevent
    antenatal steroid
    surfactant
    asses lung maturity
    tocolytic
    close monitor
    Rx
    Surfactant
    Support RS: MV,CPAP
    ATB until r/o sepsis
    NPO
    .
    MAS
    RD Meconium below vocal cord
    Fetal distress & vagal stimulate in utero
    Aspirate
    Airway obstruct(ball valve): total/ partial
    Chemical pneumonitis: edema narrow surfact
    inc PVR lead R to L shunt
    Risk: posterm, PIH,DM,IUGR,oligo,breech

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