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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
Omphalocele


Macroglossia


Gigantism


Pancreatic hyperplasia resulting in hypoglycemia
variants of neuroblastoma
gangioneuroma


ganglioneuroblastoma
calcification in abdominal mass in child
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
neural tube def


malrot


cardiovasc abnl
big ovary with multiple large follicles with bloodflow
ITS A TORSION make sure


Dual blood supply to presence of flow doesnt mean squat
primary megaureter associations
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
Vit D def


lack o sun


neonatal hepatitis


anticonvulsants


sprue


RTA


familial vit D resistance
cortical nephrocalcinosis
Most common -- chronic glomerulonephritis

cortical ischemic necrosis from ethylene glycol


hyperoxalosis


chronic hypercalcemia


Alports
medullary
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
IDIOPATHIC


Hemivertebrae


Neurofibromatosis


Cerebral palsy


Postoperative
Scoliosis worse in who?
FEMALES -- more chance of progressive disease in them
Tx scoliosis
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
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
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
Nephroblastomatosis


Nephrotic syndrome


Polycystic kidney


Glycogen storage


Leukemia/lymphoma
Grade 1 hemorrhage where?
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
Any child born before 32 weeks


Then gets scanned again 4 weeks later to exclude PVL

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