case review peds
Terms
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copy deck
- UGI series in kid
- HUNT for ligament of Treitz. You are looking to see it left of midline.
- corkscrew
- Small bowel spiralled around the SMA
- Beckwith wiedemann
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Omphalocele
Macroglossia
Gigantism
Pancreatic hyperplasia resulting in hypoglycemia - variants of neuroblastoma
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gangioneuroma
ganglioneuroblastoma - calcification in abdominal mass in child
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NEUROBLASTOMA -- 85% calcify
Wilms -- only 5% - what side do morgagnis occur on
- Right, because the heart protects the anterior left medial chest
- associated with diaph hernia
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neural tube def
malrot
cardiovasc abnl - big ovary with multiple large follicles with bloodflow
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ITS A TORSION make sure
Dual blood supply to presence of flow doesnt mean squat - primary megaureter associations
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calyceal divertic
pap necrosis
reflux
ureterocele
upj obs
BUT IT IS ISOLATED FINDING IN 95% of cases!!!!! - elevated AFP with testic tumorq
- Yolk sac, not seminoma
- risk factors for rickets
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Vit D def
lack o sun
neonatal hepatitis
anticonvulsants
sprue
RTA
familial vit D resistance - cortical nephrocalcinosis
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Most common -- chronic glomerulonephritis
cortical ischemic necrosis from ethylene glycol
hyperoxalosis
chronic hypercalcemia
Alports - medullary
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RTA distal type 1 -- due to higher pH of urine
MSK
Diuretics
Cushings
Papillary necrosis - What is operative criteria for NEC
- Gross pneumoperitoneum.
- Dilated loops of small bowel with air under diaphragm on plain abdominal film in a newborn
- ITS NEC. Don't deny it cause you dont see large bowel
- When should BE be done in NEC
- NEVER EVER. NOR UGIS.
- Causes of scoliosis
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IDIOPATHIC
Hemivertebrae
Neurofibromatosis
Cerebral palsy
Postoperative - Scoliosis worse in who?
- FEMALES -- more chance of progressive disease in them
- Tx scoliosis
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Until apophyseal fusion, brace
Once apophyses have fused, then you begin with the surgeries - Mediastinum deviated towards the right, with curvilinear structure in lower lung
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SCIMITAR SYNDROME = HYPOGENETIC RIGHT LUNG
It is NOT hypoplasia of the right lung, the right lung is just smaller, so that there is shift of the mediastinum. - Components of scimitar syndrome
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Hypoplasia or aplasia of one or more lobes of R lung
PAPVR of right lower lung into the IVC
Absent or small R PA
Sometimes rib and vertebral body anomalies - % kids with NOFs
- 20%
- Eccentric lytic lesion in metaphysis with sclerotic rim and trabeculations
- Nonossifying fibroma -- they LOOK DIFFERENT than FCDs.
- Tumor associated with Beckwith Wiedemann
- Wilms
- Bilaterally enlarged kidneys in kid
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Nephroblastomatosis
Nephrotic syndrome
Polycystic kidney
Glycogen storage
Leukemia/lymphoma - Grade 1 hemorrhage where?
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ANTERIOR to caudothalamic groove (between the caudate and the thalamus)
See blood posterior to caudothalamic groove you say? Its probably in the lateral ventricle - Screening protocol for germinal matrix hemorrhages
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Any child born before 32 weeks
Then gets scanned again 4 weeks later to exclude PVL